ACUTE PANCREATITIS: PROGNOSTIC VALUE OF COMPUTED TOMOGRAPHY SEVERITY INDEX, A PROSPECTIVE STUDY

Prof.(Dr.)Biant Singh; Dr.Gurpreet Kour; Dr.Manpreet Kour; Dr. Navajyoti Bora

Volume : VIII, Issue : XII, December - 2019

ACUTE PANCREATITIS: PROGNOSTIC VALUE OF COMPUTED TOMOGRAPHY SEVERITY INDEX, A PROSPECTIVE STUDY

Prof. Dr. Biant Singh, Dr. Gurpreet Kour, Dr. Manpreet Kour, Dr. Navajyoti Bora

Abstract :

Background : Acute pancreatitis is a inflammatory process of pancreas with variable course involving other regional tissues and remote organ systems. It is therefore essential to recognise the severity of disease and plan focussed management Methods: A prospective study on 50 patients of acute pancreatitis admitted in our teaching hospital, Garhwal from June 2017 to June 2019 was done to recognise the severity, to predict the outcome and to plan a focussed early management with the help of Contrast enhanced computed tomography in identifying and staging the disease, making justified use of limited hospital resources, thus aimed at reducing the morbidity and mortality rate. Results: We found that with increase in severity of disease, mortality rate was highest in severe grade as against nil in mild grade cases. Conservative measures, critical care management in severe cases and standard operative procedure when required was necrosectomy with closed lavage in severe cases with 50% operative mortality. Conclusion: We conclude that CECT can prognosticate patients of acute pancreatitis and predict the morbidity, hospital stay and mortality rate. It can recognise the patients who need early intervention to prevent progression of disease.