Abstract

Acute pancreatitis (AP) is a disease with wide clinical variation, which makes its diagnosis complex. The severity of AP forms a continuum, and the average mortality rate approaches 2-10%. Most of the cases are mild and conservative treatment results in a rapid recovery in most of them. However, severe AP constitutes 15–20% of all cases. In recent decades, mortality rate of severe AP has decreased from 30- 80% to 15- 20%. Various scoring systems like APACHE II scoring, RANSON scoring and BISAP have been used to asses Severity in Acute Pancreatitis. Among these BISAP and RANSON scoring systems have been considered to be predictive and most widely used. The need of a scoring system with maximum accuracy and simplicity has been emphasized upon. Aim of the Study: This study attempts to evaluate the radiological and clinical scoring system and laboratory parameters in early prediction of severity of AP. Materials and Methods: Prospective observational study was conducted for 50 patients admitted with acute pancreatitis during the study period from March 2021 to October 2022. All the patients were subjected to detailed clinical examination, laboratory investigations and radiological imaging with their consent. BISAP score & RANSON score were calculated in all such patients based on data obtained within 48 hours of hospitalization. Results: According to Atlanta Revised criteria, 30 patients had mild pancreatitis, 10 patients had moderately severe pancreatitis, and 10 patients had severe pancreatitis. Of the 50 patients, 34 patients had RANSON score less than or equal to 3, and 16 patients had a score of more than 3. Of the 50 patients, 36 patients had a BISAP score less than or equal to 3, and 14 patients had a score of more than 3. Conclusion: From this study, we can conclude that BISAP scoring system is not inferior to RANSON scoring system in predicting the severity of acute pancreatitis. BISAP scoring system is very simple, cheap, easy to remember and calculate. BISAP scoring system accurately predicts the outcome in patients with acute pancreatitis. Moreover, the values in BISAP score are instantaneous and there is no time delay.

Description