Correlation of modified CT Severity Index with Complications of Acute Pancreatitis

Abstract

Acute pancreatitis is a significant cause of morbidity and mortality and is known to run an unpredictable course. Severe pancreatitis occurs in 20%-30% of all patients with acute pancreatitis and is characterized by a protracted clinical course, multiorgan failure, and pancreatic necrosis. Modified Computed Tomography Severity Index (MCTSI) is used as a scoring system in acute pancreatitis. This study aims to correlate the MCTSI grading system with patient outcome in terms of organ failure, mortality and duration of hospital stay. Materials and methods: This was a prospective study conducted for a period of two years. 39 Cases diagnosed as acute pancreatitis were included in this study. These patients underwent contrast enhanced computed tomography (CECT) of the abdomen and pelvis. The findings were recorded as per the modified CT severity index. Results: There was significant correlation between necessity of ICU admission and duration of ICU stay and grade of pancreatitis, positive correlation with duration of ward stay and strong correlation with total duration of hospital stay. Higher CT grade is positively associated with development of local complications and systemic complications. Conclusion: Grading by modified CT severity index has a significant correlation with necessity of ICU admission, duration of ICU stay and total duration of hospital stay. Modified CT severity index can be used to predict the possibility of developing local and systemic complications, the need for interventions and necessity of ICU admission.

Acute Pancreatitis as a Complication of Intragastric Balloon

“…Various causes were identified in which gallstones and excessive alcohol consumption are the most common etiologies [ 12 ]. Severity may range from mild and self-limiting to extremely severe pancreatic necrosis and hemorrhage [ 13 ]. Diagnosis of AP is made with two out of three criteria: (1) Acute onset upper abdominal pain, (2) increase in serum amylase or lipase level by at least three times the upper limit of the normal range, and (3) characteristic findings on cross-sectional imaging (contrast CT, MRI, or ultrasound) [ 14 ].…”