Abstract

The aim of this study was to evaluate the severity of acute pancreatitis using modified Atlanta classification at admission and at 48 h and to compare severity of AP as assessed by modified Atlanta classification with modified CTSI in the second week. Methods: The present study was conducted in patients admitted in BRD Medical College, Gorakhpur. The study was conducted for a period of 1 year and 3 months from September 2021 to December 2022. Thirty four patients with acute pancreatitis presenting to BRD Medical College, Gorakhpur, fulfilling the inclusion criteria were included in the study. Results: A total of 35.2% patients belonged to age group of 30 years, 29.4% belonged to age group of 31-40 years, 14.8% belonged to age group of 41-50 years, 20.6% belonged to age group of >50 years. Mean age of different groups, the mean values of mild 42.4 years, moderate 37.18 years and severe 31.33 years. The study included out of 34 patients 21 (61.7%) male patients and 13 (38.3%) female patients. The Serum Amylase levels decreased sharply at 48 hrs. Serum Lipase values remained elevated till 48 hrs and come down at 48 hrs. Modified Atlanta Classification was repeated at 48 hrs which classified 9(26.4%) as mild, 19(55.9%) as moderate and 6(17.7%) severe AP out of 34 patients. Sensitivity and Specificity of 100% and 100% with PPV and NPV of 100% and 100% respectively was found for severe AP (p value=0.0004). Conclusion: On the basis of the our study we concluded that Modified Atlanta Classification accurately classifies the patients at 48 hrs into mild, moderate and severe type of acute pancreatitis in comparison to the objective findings revealed at 14 days by using Modified CTSI.

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