Evaluation of the bedside index for severity in acute pancreatitis score (BISAPS) in predicting disease severity, organ failure and mortality in acute pancreatitis

Abstract

were seen in 37% of patients with the incidence in patients with DLPR(27%) similar to chronic pancreatitis (37%).Clinically relevant postoperative pancreatic fistula occurred in 19% of patients and was most frequent in patients with distal pseudocyst (53%).25% of patients with distal pseudocyst required postoperative ERCP(median 2 procedures) for management of fistula compared to 3% of patients with DLPR(p=0.05).Among patients with 6 months of follow-up,35% developed new onset diabetes and 55% had persistent opioid use. Conclusions: Distal pancreatectomy is undertaken in pancreatitis with high perioperative morbidity and is not often accomplished laparoscopically.Preoperative indications are heterogeneous and have similar postoperative morbidity.Postoperative ERCP is useful in managing persistent pancreatic fistulae,which are more common in patients with pseudocyst.

Comparison of Ranson’s Score, BISAP, and CTSI in Predicting the Severity of Acute Pancreatitis

“…4 BISAP score have 5 variables to determine severe AP (presence of age >60 years, pleural effusion, BUN >25mg/dL, presence of SIRS and impaired mental health). 5,6 While modified CTSI is linked only with grading of pancreatic necrosis and extent of pancreatic necrosis. 7 All of these scors have potential risk and benefits and have been used in routine practice.…”