Volume : III, Issue : VIII, August - 2014

A Study of 50 Cases of Management of Acute Pancreatitis

Dr. Krunal R. Kundadia, Dr. Hitendra K. Desai

Abstract :

OBJECTIVE: Acute pancreatitis is very serious disease with significant morbidity and mortality . Therefore, this study was undertaken to treat the patients of acute pancreatitis with help of various modalities of treatment available to our hospitals, to prevent the recurrence . METHOD: The study was conducted in 50 patients of acute pancretitis admited in surgical wards of general hospital. After admission all patients were studied according to proforma. Proforma was designed to record the history, chief complain, past history, family history, personal history, addiction history ,obstetric and menstrual history (in case of female patient), physical examination local examination, neurological examination, investigations and management . RESULT: Out of 50 patients with ACUTE PANCRETITIS, 35 (70 %) were males while remaining 15 (30%) were females. Majority of patients (80%) belonged to the middle age group. 70 % patients were of lower socio-economic class. Average duration of pain was 1 day. Alcoholism and smoking was far more common in males than in females, where as gall stone disease more commen in female. Acute abdominal pain radiating to back was the commonest presenting symptom. DIAGNOSIS made with the help of clinical features ,past history , s.amylase s.lipase ,ultrasonography in emergency department , 85% of patients have interstitial pancreatitis; 15%have necrotizing pancreatitis Among patients with necrotizing pancreatitis, 33% have infected necrosis Mortality in acute pancreatitis overall, is approximately 5%: 3% in interstitial pancreatitis, 17% in necrotizing pancreatitis.In necrotizing pancreatitis, mortality 3-fold infected vs. sterile necrosis CONCLUSION : Acute pancreatitis is very serious condition with great morbidity and mortalIty,that is why its proper management is very important 1.) Volume replacement is the foundation of therapy 2) Establish etiology ,Importance is to prevent recurrence 3) Biliary Pancreatitis ,Utilize laboratory markers for diagnosis of retained CBD .ERCP is only for treating patients with cholangitis 4) Do not use prophylactic antibiotics.only for severe interstitial pancretitis and necrotisizing pancretitis. 5) CT guided aspiration is the diagnostic test for pancreatic infection & allows directed antibiotic therapy 6) Surgical intervention in patients with infected pancreatic necrosis but rarely in sterile necrosis 7) Early enteral feeding is safe, prevents leaky gut and is associated with less complications than TPN 8) Alcohol cessation stricly advised in all patient with alcohol pancreatitis. 9) Elective choleycystectomy offered to all having gall stone pancretitis.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Krunal R. Kundadia, Dr.Hitendra K.Desai A Study of 50 Cases of Management of Acute Pancreatitis International Journal of Scientific Research, Vol : 3, Issue : 8 August 2014

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