Study of clinical profile in acute pancreatitis and its management
Dr. G Venkata Prakash, Dr. M Vijay Kumar, Dr. G Rajaram
More than a century after its comprehensive description, acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, up to a fifth of patients develop a severe attack that can be fatal. The presentation of wide spectrum of symptoms gives the clinician a heart-breaking exercise to bring back the patient from the clutches of the disease process. Pancreatitis by itself is a disease, which is unique, protean and extrudes into the diagnostic arena. It cannot be too strongly emphasized that the primary treatment of acute pancreatitis is conservative only, but it is the pandora’s box of manifestations, with its inherent complication’s surgery comes into play as diagnostic, prognostic and therapeutic endeavors. Because of the frequent emergency, multimodality presentation, difficult preoperative diagnosis and management of complications, this challenging subject is taken up for the present study in which we will be studying the clinical profile and management of acute pancreatitis in our hospital. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. Acute pancreatitis is a common and challenging disease that can develop both local and systemic complications. Its hallmark is acute pancreatic inflammation associated with little or no fibrosis. It ranges from a mild self-limiting inflammation of the pancreas to critical disease characterized by infected pancreatic necrosis, multiple organ failure and a high risk of mortality. The clinical outcome has improved over recent decades, even in the absence of specific treatments that target outcome-determining pathophysiology, probably because of a more consistent approach to diagnosis, monitoring and management. This Present study was conducted. at Bowring and lady Curzon and Victoria Hospital, Bangalore, a tertiary care centre with round the clock radiology and endoscopy services. All endoscopies are done by Gastroenterologists. Surgeons with expertise in pancreatico biliary diseases are available. Here acute pancreatitis was found to be two and a half times more common in males than females.