Aetiology of Acute Pancreatitis and Its Management

Saher Irshad, Muhammad Bilal Tahir, Sadaf Zahoor

Abstract


Objective: Objective of this study was to determine causes of acute pancreatitis and its management.

Study design and Duration: It is a retrospective type of study. In which data was taken from July 2017 to December 2017.

Setting: This study was conducted in surgical ward of Services Hospital Lahore Pakistan.

Patients and Methods: In this study 78 cases were included. These patients were reported either in emergency ward or out-patient doors. These cases presented with signs symptoms of acute pancreatitis. After taking history, thorough examination was done and necessary investigations were done and diagnosis of acute pancreatitis was established. A proform was set in which all necessary data of the patient was documented such as age of patient, presenting complaints, signs/symptoms, positive findings on history and examination and investigations. These cases were admitted in the ward and causes were ruled out for acute pancreatitis. They were given proper treatment and outcome was documented. Morbidity and mortality associated with acute pancreatitis was documented. All data was analyzed using Microsoft office and SPSS version 2007. Results were calculated in the form of frequencies and expressed via tables and graphs.

Results: Total 78 cases having acute pancreatitis were studied. These cases were having ages with range of 20-70 years with mean age of 44.8 years. Mostly cases were above 45 years of age. There were 11 cases between age of 20-30 years, 16 cases between 31-40 years of age, 25 cases with age 41-50 years, 20 cases with age 51-60 years and only 6 cases were having age range of 61-70 years. There were 62 male patients and only 16 were female patients. Causes of acute pancreatitis reported were gall stones in 45 cases, idiopathic reason in 16 cases, after ERCP in 7 cases, due to alcohol consumption in 5 cases, due to abdominal trauma in 2 cases and drug induced pancreatitis was found in 3 cases. It was seen that mast common cause of pancreatitis was gall stones in this study group and second most common cause is idiopathic. Out of 78 cases 2 patients were died due to severe disease so contributing mortality rate of 2.6%. All other cases survived after proper management and ICU care was given in severely ill cases. As alcoholism is not much common in our country that’s why it was not common cause of acute pancreatits but in which countries alcoholism is common it may be most common cause there.    

Conclusion: Acute pancreatitis is a common surgical disease most commonly occurs due to gall stones. Severity of disease can be measured by APACHE ii or iv scoring system. Early diagnosis and prompt treatment can reduce morbidity and mortality associated with this disease.


Keywords


treatment of acute pancreatitis, Causes of pancreatitis, APACHE scoring system

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