Volume : 9, Issue : 4, April - 2020

CLINICAL PROFILE, SEVERITY AND OUTCOME IN PATIENTS WITH ACUTE BILIARY PANCREATITIS AS PER REVISED ATLANTA CLASSIFICATION, 2012.

Neeraj Sharma, Anupam Nanda

Abstract :

BACKGROUND- Acute Pancreatitis (AP) is an inflammatory process of the pancreas with varying degree of involvement of regional tissues or remote organ systems.Most common etiology being gallbladder stones and alcohol abuse.It is a common problem worldwide and early detection of severity may lead to better management and outcome of this disease.This study aim to study the clinical profile, assesment of severity and outcome of patients with acute biliary pancreatitis based on Revised Atlanta Classification, 2012. METHODS-A total of 36 patients diagnosed with acute biliary pancreatitis and their clinical profile, assesment of severity and outcome were reviewed as per revised Atlanta classification, 2012. RESULTS- This study concluded that acute biliary pancreatitis is more common in females in age group between 41-60 years of age.Epigastric pain and vomiting are the most common presenting symptoms.Elevated serum amylase/lipase levels are the important biochemical serum markers for early diagnosis but their quantative values had no correlation with severity of the disease.Respiratory failure is the most common organ failure. Nearly half of the patient had mild form of the disease. USG is the good imaging modality for early diagnosis of the disease and CECT is the modality of choice to assess the severity of inflammatory process and local complications but should be reserved for a particular group of patients.Early diagnosis and severity of the disease results in better patient outcome.