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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 1 eISSN:  pISSN

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EVALUATION OF ACUTE PANCREATITIS BYGLASGOW PROGNOSTIC SCORE

Ravindra Devani1 , Sagar Kathare2 , M A Sagri3 

Professor and Head , 2Junior resident , 3Professor , Department of Surgery, Khaja Banda Nawaz Institute of Medical Sciences, Kalaburgi. 

Sagar S Kathare

Jagruthi Colony ,Ring Road

Kalaburgi 585105

sagarskathare@gmail.com

Received Date: 2018-03-25,
Accepted Date: 2018-04-28,
Published Date: 2018-04-30
Year: 2018, Volume: 8, Issue: 2, Page no. 81-86, DOI: 10.26463/rjms.8_2_7
Views: 670, Downloads: 10
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Objective: To study the clinical course and to assess the severity of acute pancreatitis and its management based on Glasgow prognostic score.

Material and methods: It is a prospective study conducted on 50 consecutive cases of acute pancreatitis admitted to the hospital attached to Khaja Banda Nawaz Institute of Medical Sciences, Kalaburgi.

Results: There were 40 male and 10 female (M : F ~ 4 : 1) patients. The peak incidence was in the fourth decade with a median age of 41 years. The commonest etiology was alcohol abuse (70%). It was followed by gallstones (20%), and hypertriglyceridemia (4%). Remaining cases were idiopathic (4%) and hypocalcaemia (2%). Glasgow scoring helped to categorize the patients into mild and severe cases which led to early diagnosis, management and reduction in mortality.

Conclusion: The incidence of acute pancreatitis is found to be frequent in younger age.. Glasgow Scoring system helps to identify patients who are more likely to have a severe attack of acute pancreatitis requiring urgent treatment. Severe cases should be managed in well equipped ICU. Timely intervention by endoscopist and surgeon are crucial to reduce morbidity and mortality. 

<p><strong>Objective: </strong>To study the clinical course and to assess the severity of acute pancreatitis and its management based on Glasgow prognostic score.</p> <p><strong>Material and methods:</strong> It is a prospective study conducted on 50 consecutive cases of acute pancreatitis admitted to the hospital attached to Khaja Banda Nawaz Institute of Medical Sciences, Kalaburgi.</p> <p><strong>Results: </strong>There were 40 male and 10 female (M : F ~ 4 : 1) patients. The peak incidence was in the fourth decade with a median age of 41 years. The commonest etiology was alcohol abuse (70%). It was followed by gallstones (20%), and hypertriglyceridemia (4%). Remaining cases were idiopathic (4%) and hypocalcaemia (2%). Glasgow scoring helped to categorize the patients into mild and severe cases which led to early diagnosis, management and reduction in mortality.</p> <p><strong>Conclusion:</strong> The incidence of acute pancreatitis is found to be frequent in younger age.. Glasgow Scoring system helps to identify patients who are more likely to have a severe attack of acute pancreatitis requiring urgent treatment. Severe cases should be managed in well equipped ICU. Timely intervention by endoscopist and surgeon are crucial to reduce morbidity and mortality.&nbsp;</p>
Keywords
Acute pancreatitis, Etiopathogenesis, Management
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