E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Study of recent trends in acute pancreatitis

Keyur Surati, Kaushal Suthar, Jainam Shah, Brijesh Parekh.

Cited by (1)

Abstract
Background: Acute pancreatitis is an acute condition presenting with abdominal pain and usually associated with raise pancreatic enzyme level in the blood or urine as a result of inflammatory disease of pancreas. Pancreatitis is a disease of wide clinical variation ranging from mild discomfort alone to a severe illness with hypotension, metabolic derangement, sepsis, multiple organ failure and death. Mortality from acute pancreatitis has decreased from around 12 to 2 percent, according to a large epidemiologic study of acute pancreatitis. However, mortality rates remain much higher in subgroups of patients with severe disease.

Aims & Objective: To study recent trends in acute pancreatitis, to study the various etiological factors for development of acute pancreatitis, assessment of various clinical features, complication, investigations and diagnosis of acute pancreatitis and its complications, to evaluate various modalities of the treatment for acute pancreatitis and its complications.

Material and Methods: Material of this study consists of 50 patients of acute pancreatitis who were admitted in our Hospital. The clinical presentation clinical examination was carried out, and physical findings, associated medical conditions, laboratory and radiological investigations, severity, management and outcome were studied and the etiology was determined by reviewing the medical records of all cases documented to have acute pancreatitis during the period of study.

Results: Average hospital stay for 50 patients in our study is approximately 7 days. The diagnosis of acute pancreatitis was considered when abdominal pain is associated with elevation of serum amylase level. Abdominal pain (100%), fever (82%), vomiting (86%), abdominal distension (40%) and dyspnoea (50%) are its common clinical symptoms.

Conclusion: Gallstones and alcohol abuse are the main causes of acute pancreatitis. There is no mortality in our study. Among all the patients, only 4 patients in the follow-up developed complications approximately after 2 months of duration of attack; and they undergone for operation. Clinical examination, serum amylase and ultrasonography are still the diagnostic tool for pancreatitis. Most cases of pancreatitis can be managed conservatively with early diagnosis, aggressive medical management and by treatment of cause.
Key-Words: Pancreatitis; Pseudopancreatic Cyst; Pancreatic Debridement

Key words: Pancreatitis, Pseudopancreatic cyst, Pancreatic debridement.


 
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REFERENCES
1. Singh I, Pal GP. Human embryology. 9th ed. New Delhi: Macmillan Publishers India, 2013.
2. Russell RCG. The Pancreas. In: Bailey and Loves' Short Practice of Surgery. Russell RCG, Williams NS, Bulstrode CJK, editor. 24th ed. London: Hodder Arnold; 2004.; pp. 1115-1132.
3. Steer ML. The early intra-acinar cell events which occur during acute pancreatitis: The frank Brooks Memorial Lecture. Pancreas. 1998; 17:31-37. [DOI via Crossref]   
4. Yeo CJ, Cameron JL. Exocrine pancreas. In: Townsend CM Jr, Evers BM, Mattox KL, editors. Sabiston Textbook of Surgery-The Biological Basis of Modern Surgical Practice. 16th ed. Singapore: Harcourt Asia Pte Ltd; 2001. pp. 1112-1143.
5. Nagle AP, Soper NJ, Hines JR. Management of Acute Pancreatitis. In: Zinner MJ, Ashley SW, editors. Maingot's Abdominal Operations. 11th ed. New York: McGraw Hill. 2007; 939-82.
6. Brry M, Chowdhury V, Mukhopadhyay S, Suri S. Diagnostic radiology: Gasrtointestinal and Hypetobiliary imaging. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd. 2004.
7. Grainger RG, Allison DJ, Adams A, Dixon AK. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging 4th ed. London: Harcourt Publishers Ltd; 2001.
8. de Beaux AC, Goldie AS, Ross JA, Carter DC, Fearon KC. Serum Concentrations of inflammatory mediators related to organ failure in patients with acute pancreatitis. Br J Surg. 1996; 83:349-53. [DOI via Crossref]   
9. Dervenis C, Johnson CD, Bassi C, Bradley E, Imrie CW, McMahon MJ, et al. Diagnosis, objective assessment of severity, and management of acute pancreatitis: Santorini consensus conference. Int J Pancreatol. 1999; 25:195-210.
10. Triester SL, Kowdley KV. Prognostic factors in acute pancreatitis. J Clin Gastroenterol. 2002; 34:167-76. [DOI via Crossref]   
11. Brown A, Orav j, Banks PA. Heamoconcentration is an early marker for organ failure and necrotisisng pancreatitis. Pancreas. 2000; 20:367-72. [DOI via Crossref]   
12. Lankisch PG, Mahlke R, Blum T, Bruns A, Bruns D, Maisonneuve P, et al. Hemoconcentration: An early marker of severe and/or necrotizing pancreatitis? A critical appraisal. Am J Gastroenterol. 2001; 96:2081-5. [DOI via Crossref]   
13. Kylänpää-Bäck ML, Takala A, Kemppainen EA, Puolakkainen PA, Leppäniemi AK, Karonen SL, et al. Procalcitonin, soluble interleukin-2 receptor, and soluble E-selectin in predicting the severity of acute pancreatitis. Crit Care Med. 2001; 29:63-9. [DOI via Crossref]   
14. Neoptolemos JP, Kemppainen EA, Mayer JM, Fitzpatrick JM, Raraty MG, Slavin J, et al. Early prediction of severity in acute pancreatitis by urinary trypsinogen activation peptide: A multicentre study. Lancet 2000; 355:1955-60. [DOI via Crossref]   
15. Tenner S, Fernandez-del Castillo C, Warshaw A, Steinberg W, Hermon-Taylor J, Valenzuela JE, et al. Urinary trypsinogen activation peptide (TAP) predicts severity in patients with acute pancreatitis. Int J Pancreatol. 1997; 21:105-10.
16. Ashley SW, Perez A, Pierce EA, Brooks DC, Moore FD Jr, Whang EE, et al. Necrotizing pancreatitis: Contemporary analysis of 99 consecutive cases. Ann Surg. 2001; 234:572-80. [DOI via Crossref]   
17. Kandasami P, Harunarashid H, Kaur H. Acute Pancreatitis in a Multi-ethnic Population, Singapore Med J. 2002; 43(6): 284-88.

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How to Cite this Article
Pubmed Style

Surati K, Suthar K, Shah J, Parekh B. Study of recent trends in acute pancreatitis. Int J Med Sci Public Health. 2014; 3(1): 63-68. doi:10.5455/ijmsph.2013.011020131


Web Style

Surati K, Suthar K, Shah J, Parekh B. Study of recent trends in acute pancreatitis. http://www.ijmsph.com/?mno=40448 [Access: October 22, 2018]. doi:10.5455/ijmsph.2013.011020131


AMA (American Medical Association) Style

Surati K, Suthar K, Shah J, Parekh B. Study of recent trends in acute pancreatitis. Int J Med Sci Public Health. 2014; 3(1): 63-68. doi:10.5455/ijmsph.2013.011020131



Vancouver/ICMJE Style

Surati K, Suthar K, Shah J, Parekh B. Study of recent trends in acute pancreatitis. Int J Med Sci Public Health. (2014), [cited October 22, 2018]; 3(1): 63-68. doi:10.5455/ijmsph.2013.011020131



Harvard Style

Surati, K., Suthar, K., Shah, J. & Parekh, B. (2014) Study of recent trends in acute pancreatitis. Int J Med Sci Public Health, 3 (1), 63-68. doi:10.5455/ijmsph.2013.011020131



Turabian Style

Surati, Keyur, Kaushal Suthar, Jainam Shah, and Brijesh Parekh. 2014. Study of recent trends in acute pancreatitis. International Journal of Medical Science and Public Health, 3 (1), 63-68. doi:10.5455/ijmsph.2013.011020131



Chicago Style

Surati, Keyur, Kaushal Suthar, Jainam Shah, and Brijesh Parekh. "Study of recent trends in acute pancreatitis." International Journal of Medical Science and Public Health 3 (2014), 63-68. doi:10.5455/ijmsph.2013.011020131



MLA (The Modern Language Association) Style

Surati, Keyur, Kaushal Suthar, Jainam Shah, and Brijesh Parekh. "Study of recent trends in acute pancreatitis." International Journal of Medical Science and Public Health 3.1 (2014), 63-68. Print. doi:10.5455/ijmsph.2013.011020131



APA (American Psychological Association) Style

Surati, K., Suthar, K., Shah, J. & Parekh, B. (2014) Study of recent trends in acute pancreatitis. International Journal of Medical Science and Public Health, 3 (1), 63-68. doi:10.5455/ijmsph.2013.011020131





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