Demographic profiles, etiology and management of patients presenting with acute pancreatitis in AIMS, B. G. Nagara: a prospective study

Abstract

Background: Acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, upto a fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. So, we have studied the clinical profile and management of acute pancreatitis. Aims and objectives were to study the clinical presentation, complications and treatment modalities of acute pancreatitis that can be offered in our institution and the outcome.Methods: This prospective study was conducted between November 2018 to October 2020 on patients admitted to Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya. 50 patients with acute pancreatitis were enrolled for the study.Results: Study included 50 patients with acute pancreatitis, 40 males and 10 females. The peak incidence was in the fourth decade with the median age of 35 years. The commonest etiology was alcohol consumption accounted for 72% of cases followed by gall stones (12%), idiopathic (8%) and others (8%).Conclusions: Acute pancreatitis was found to be in a younger age group. Serum amylase and lipase should be used for diagnosis wherever possible. Scoring systems help to identify patients who are more likely to have a severe attack and they should be referred to higher centers if adequate facilities are not available. Severe cases should be managed in well-equipped ICU. Timely intervention by endoscopist and surgeons are crucial to reduce morbidity and mortality.