Role of intra-abdominal pressure in predicting outcome in acute severe pancreatitis.

Dr. S. Vijaya Mohan Rao; Dr. B. Sandeep; Dr. G. Swamy Vivek; Dr. K. Sidhardha

Volume : IX, Issue : I, January - 2019

Role of intra-abdominal pressure in predicting outcome in acute severe pancreatitis.

Dr. S. Vijaya Mohan Rao, Dr. B. Sandeep, Dr. G. Swamy Vivek, Dr. K. Sidhardha

Abstract :

Background: Mortality in patients with severe acute pancreatitis (SAP) remains high. Some of these patients develop increased intra–abdominal pressure (IAP) Which may contribute to organ dysfunction. The aim of this study was to evaluate intra–abdominal pressure as a marker of severity in severe acute pancreatitis and to evaluate the relationship between intra–abdominal pressure and development of complications like SIRS, organ failure, pancreatic necrosis in patients with severe acute pancreatitis. A total of 50 patients with acute pancreatitis with no significant co–morbid conditions were studied in this group by measuring the intra–abdominal pressure with a Foleys catheter inserted into the bladder and caliating the pressure with a pressure monitoring scale. This study deals with predictive value of intra–abdominal pressure in progression of acute pancreatitis as a cheaper but not an alternative for traditional predictive scores.