Changing Trends in the Epidemiology of Pancreatitis in Rural Population: Study at a Tertiary Health Care Centre

Abstract

Introduction: Worldwide, over the last decade, yearly incidence of pancreatitis and related hospitalizations have increased [1] . Acute pancreatitis is the most common cause of GI related hospitalizations in the world, with more than 274,000 hospitalizations in 2012 [1] .

Screening of malnutrition using Patient‐Generated Subjective Global Assessment tool and hand muscle strength in subjects with pancreatitis

“…This is due to the major etiological factor being alcohol and decreased nutrient absorption and deficiencies, along with probable disturbances in the meal due to alcohol intake. 1,3,5,15 Other anthropometric assessments of MUAC and TSF also showed lower values compared to the normal cut-off for Indians. Similar results were obtained in one of the studies conducted on nutritional assessment of CP versus tropical pancreatitis.…”

“… 8 Alcohol consumption and gallstone obstruction were the major etiology identified in this study, similar to two other Indian studies conducted in eastern Indian and in rural Indian populations. 1 , 4 Even though subjects were from the lower economic group, daily consumption of alcohol was observed. It was also observed that subjects from rural backgrounds had higher consumption of alcohol and smoking compared to the urban group.…”

“…Clinical signs and symptoms like pain abdomen, nausea, vomiting, occasionally diarrhea, dyspnea, and fever were common among subjects, which are similar to most of the studies reported on pancreatitis. [1][2][3][4]6,14 Selection of proper assessment tool is important for early detection of malnutrition, but studies that have used MNA and Malnutrition Universal Screening Tool (MUST) could not identify percent weight loss and reduction in food intake in past months, as well as the severity of disease; thus, the PG-SGA tool was used for assessment and it showed that most of the patients were suspected to have malnutrition (Stage B) and the occurrence of malnutrition was even before the disease sets in. This is due to the major etiological factor being alcohol and decreased nutrient absorption and deficiencies, along with probable disturbances in the meal due to alcohol intake.…”

“… 1 The symptoms vary from mild abdomen pain to chronic malabsorption under a wide spectrum of reversible inflammation in AP and irreversible changes in CP, such as necrosis, calcification, fibrosis, and destruction of exocrine and endocrine functions of the pancreas. 1 , 2 …”

“…The disease is broadly classified into acute pancreatitis (AP) and chronic pancreatitis (CP) based on the duration of the disease and the pathological and biochemical changes. 1 The symptoms vary from mild abdomen pain to chronic malabsorption under a wide spectrum of reversible inflammation in AP and irreversible changes in CP, such as necrosis, calcification, fibrosis, and destruction of exocrine and endocrine functions of the pancreas. 1,2 The occurrence of malnutrition is a well-known fact among CP patients due to impaired digestion, absorption, and metabolism, which increases the further risk.…”