A PROSPECTIVE STUDY ON SIGNIFICANCE OF CRP VALUES IN ABDOMINAL SURGERY

Dr Devendra Kumar Jain; Dr Subhabrata Das; Dr Sachender Pal Singh

Volume : VII, Issue : VI, June - 2017

A PROSPECTIVE STUDY ON SIGNIFICANCE OF CRP VALUES IN ABDOMINAL SURGERY

Dr Devendra Kumar Jain, Dr Subhabrata Das, Dr Sachender Pal Singh

Abstract :

CRP level rises during inflammatory process and it is the early and sensitive response to bacterial, viral and fungal infections, neoplastic disease, myocardial infarction & surgical trauma. CRP concentration may rise in response to acute phase stimulus in 6 hours reaching peak value around 48 hours. Aims of this study wasTo find out a correlation between postoperative infective complication with CRP, total leukocyte count (TLC) and temperature. This is a prospective observational study carried out in Geetanjali hospital for one year from 1st may 2015 to 30th April 2014. During this period we have included all the patients (67 patients) who have undergone major abdominal surgery for cancer and have given consent for the study. Procedure did for palliation have not been included. Out of 67 patients, 24 patients were diagnosed with PICs. Among these 24 patients, 19 patients were having dramatic rise of CRP, 24 patients were having high TLC on same day (17) or on second day (7) and 17 patients were having rise in temperature on same day and 2 patients on second day. Although clinical suspicion of PIC is the best single modality for diagnosis but combination of CRP with clinical suspicion (history, examination and temperature) helps in identifying PIC earliest. Moreover rise in TLC in previous category make the diagnosis stronger.