Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1

Int Surg J. 2015; 2(2): 191-194


Clinico-pathological study of acute pancreatitis: a prospective study of 30 cases

Vineet Choudhary, N. S. Shekhawat, Nitu Kumari.

Abstract
Background: The incidence of acute pancreatitis (AP) has increased during the past 20 years. Aim of this study was to review various clinical parameters like etiological factors, age, sex, clinical signs & symptoms and various biochemical criteria like serum amylase, lipase, blood sugar, and serum calcium in assessment of acute pancreatitis.
Methods: We conducted prospective study on 30 patients admitted in our Hospital, who were diagnosed clinically as acute pancreatitis associated with raised serum amylase levels more than 160 somogyi units/100ml.
Results: The incidence was higher in males (66.66%) as compared to females. Most common etiological association was gallstone (50%) followed by alcohol (9%), idiopathic (16.66%). Most common clinical sign was abdominal tenderness (93.33%) followed by tachycardia (66.66%), tachypnoea (53.33%), rigidity (53.33%), jaundice (40%), epigastric lump (13.33%). Most common clinical symptom was abdominal pain (100%), nausea/vomiting (90%), abdominal distension (83.33%), fever (53.33%). Increase of serum lipase may be a better diagnostic tool because it found to be normal in some non-pancreatic conditions also. Blood sugar >200mg%, serum calcium < 8 mg% are important poor prognostic indicators and show increased severity of disease and mortality risk. In our study complications encountered were pleural effusion (10%), renal failure (6.66%), ARDS (3.33%), cardiac arrhythmias (3.33%).
Conclusions: Our study emphasizes that early diagnosis and assessment of severity of disease by various clinical signs, symptoms and biochemical criteria supported by radiological investigations is very important to minimize the complications of acute pancreatitis.

Key words: Acute pancreatitis, Gall stone, Ranson’s criteria



Share this Article


Advertisement
Progress in Orthopedic Science

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons