A STUDY ON CLINICAL AND RADIOLOGICAL SEVERITY SCORING IN ACUTE PANCREATITIS WITH THE PANCREATIC DUCT PATTERN IN MRCP

Abstract

AIM The purpose of this study was to examine the causes of MRCP findings of the pancreatic duct system, such as dilatation and strictures, in patients with pancreatitis and congenital abnormalities. Determine the severity and prognosis of pancreatitis by using a clinical, biochemical, and radiological grading scheme.
RESULTS The study comprised 100 people with various degrees of pancreatitis severity (acute, acute on chronic, and chronic). In the study, gallstones and alcohol were the leading causes, accounting for 92% of the cases studied. MRCP was shown to be the most effective method for detecting MPD changes such dilatation, disruption, and stenosis. Twenty-two (22% of the patients) met the criteria for  severe acute pancreatitis based on Ranson's criteria, whereas the remaining seventy-eight (78%) met the criteria for acute mild pancreatitis.
CONCLUSION In conclusion, the study found that alcohol use is a major risk factor for developing acute and chronic pancreatitis. It was shown that gallstones were the leading cause of this problem in females. The severity of pancreatitis may be evaluated using Ranson's score. Although it cannot detect ductal changes, a contrast-enhanced CT scan is an effective diagnostic tool for pancreatic necrosis. When it comes to diagnosing biliary and pancreatic duct obstruction, MRCP is superior.