Clinical profile of acute pancreatitis in a teaching hospital

Ahmed, Kamal; Ahad, Abdul; Alim, Abdul; Ekram, Arm Saifuddin

doi:10.3329/bmjk.v49i1-2.31818

Cited by 15 publications

(21 citation statements)

References 6 publications

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“…Hypertriglyceridemia was responsible in four cases in our study which was consistent with others 7,8…”

Section: Discussionsupporting

confidence: 92%

“…All consecutive patients of acute pancreatitis visited in hospital were included in this study. Out of 105 number of patients male were more, similar observation has also been reported by Ahmed et al 7 . This may be due to male predominance in our OPD & female attend hospital in more severe stage of disease.…”

Section: Discussionsupporting

confidence: 84%

“…Upper abdominal pain (100%) radiates to the back & nausea, vomiting (77%) were the most common clinical presentation ( Table-I), also reported by a study 7 . Fever was present in 63% patient which was due to inflammatory process & some cases due to viral infection(in younger age group).…”

Section: Discussionsupporting

confidence: 52%

“…One study of our country peak incidence was found in the fourth decade. 7 in alcoholic pancreatitis peak incidence is in the fifth decade in western countries. Whereas pancreatitis associated with gallstones & other causes peak in the 7th decade.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

Saifullah¹,

Saha

Shil³

et al. 2020

Med. Today

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Introduction:Acute Pancreatitis is a medical emergency, which is one of the most common conditions for hospital admission. Very few studies have yet investigated in Bangladesh. Objective of this study was to define demographic characteristics, clinical profile & underlying etiologies. Materials and Methods: This hospital based cross sectional descriptive study was performed in Sir Salimullah Medical College Mitford Hospital, Dhaka & North East Medical College, Sylhet, Bangladesh from January 2015 to December 2017. One hundred and five consecutive patients of acute pancreatitis (AP) were enrolled for this study. Clinical features and investigations were systematically recorded. Diagnosis of acute pancreatitis was made by the presence of the two of the three following criteria: i. abdominal pain consistent with the disease ii. serum amylase and /or lipase greater than three times from the upper limit of normal, and/or iii. characteristic findings of abdominal imaging. Results: Total of 105 patients took part in the study, of them 65 were male. The mean age was 42.76 ±15.88. Abdominal pain & vomiting was the most common mode of presentation. Gall stone and hypertriglyceridaemia were responsible of 20% of acute pancreatitis. Ascariasis also causes acute pancreatitis in two patients. Conclusion: Acute pancreatitis is a condition associated with high morbidity and mortality. Ascariasis also causes acute pancreatitis in endemic area. Patients usually respond conservative treatment but endoscopic treatment is effective in few cases. Surgery is rarely required. Medicine Today 2020 Vol.32(1): 21-24

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“…Hypertriglyceridemia was responsible in four cases in our study which was consistent with others 7,8…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

Saifullah¹,

Saha

Shil³

et al. 2020

Med. Today

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“…Endoscopic ultrasound plays pivotal role to diagnose these conditions (Ortega et al, 2011;Prat et al, 1996;Sahai et al, 1998;Catalano et al, 1998;Dill et al, 1995;Dahan et al, 1996;Baillie, 2001) Total of 109 patients of acute pancreatitis with unknown etiology were enrolled in the study. Of them 69 were male and 40 were female (P= 0.03) showing higher prevalence in male which is consistent with previous studies conducted in Bangladesh (Ahmed et al, 2016;Ahad, 2016) and Frossard et al in Europe (Frossard, Steer & Pastor, 2008). Moreover, 67 patients were below 40 years of age while 42 patients were above 40 years of age with good significance (P=0.01).…”

Section: Discussionsupporting

confidence: 89%

Idiopathic Acute Pancreatitis (IAP): The Value of Endoscopic Ultrasound

Shil¹

2019

jhms

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Factors Associated with Fluid Sequestration in Patients with Acute Pancreatitis: A Prospective Study in Tertiary Centre Hospital in Nepal

Bhandari

Sapkota

Subedi

et al. 2021

Gastroenterology Research and Practice

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Background. Acute pancreatitis (AP) is associated with extensive fluid sequestration. The aim of this study was to determine association of fluid sequestration at 48 hours after hospital admission (FS48) in AP patients with demographics, clinical parameters, and outcomes of AP. Methods. A prospective observational study was carried out on all adult patients with AP admitted to Tribhuvan University Teaching Hospital, Nepal, from January to September 2017. FS48 was calculated as the difference between fluid input and output in the first 48 hours of admission. The Kruskal-Wallis test with post hoc Dunn’s test examined the difference in FS48 between mild AP, moderately severe AP, and severe AP. Linear regression analysis was used to evaluate association between FS48 with patients’ characteristics and outcomes of AP. Outcomes of AP assessed included pancreatic necrosis, persistent organ failure, length of stay, and in-hospital mortality. Results. Eighty patients (median age 44 years; 57% male) with a median FS48 of 1610 mL were evaluated. The median FS48 for mild AP, moderately severe AP, and severe AP were 1,180 mL, 2,380 mL, and 3,500 mL, respectively. There was a significant difference in pairwise comparisons between mild AP and moderately severe AP, along with mild AP and severe AP. Younger age, other etiology, and higher creatinine were independently associated with increased FS48. Increased FS48 was significantly associated with pancreatic necrosis, persistent organ failure, and in-hospital mortality. Conclusions. In our study population, younger age and higher creatinine were predictors of increased FS48. Increased FS48 was associated with poorer outcomes of AP.

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Clinical profile of acute pancreatitis in a teaching hospital

Abstract: Background: Acute pancreatitis is a potentially fatal disease. Mortality and morbidity depends on severity of the disease

Cited by 15 publications

References 6 publications

Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

Idiopathic Acute Pancreatitis (IAP): The Value of Endoscopic Ultrasound

Factors Associated with Fluid Sequestration in Patients with Acute Pancreatitis: A Prospective Study in Tertiary Centre Hospital in Nepal

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