CLINICAL STUDY OF ACUTE PANCREATITIS AND ITS MANAGEMENT

Abstract

Background Acute pancreatitis includes a wide spectrum of disease, from mild self-limiting symptoms to a fulminant process with multiple organ failure and high mortality. Alcohol and gallstones are the most common causes. Most patients can be managed
conservatively. This study analyses the incidence, clinical presentation and management of acute pancreatitis. Methods
In our study 50 patients with acute pancreatitis were studied and data collected. These were analysed, tabulated and compared.
Results The peak incidence was in the 4th decade in males (40%) and 5th decade in females (50%). The mean age group in our study is 40.72 years. 80% were male patients and alcohol was the cause in 72% patients. Most of the patients had pain abdomen and vomiting. Amylase and lipase were elevated in most patients. CT scan was diagnostic in 90% patients and ascites was seen in 60% patients. 64% patients had mild pancreatitis and 88% patients were managed conservatively. Mean hospital stay in our study was 4.75 days. More than 90% patients improved.
Conclusion Alcohol is the main cause, seen in the 4th decade in males. CT scan is diagnostic, lipase is elevated in most cases. Most cases are mild disease and managed conservatively.