Acute Pancreatitis and its Clinical Study and Management in Amaravathi Region
Katuri Medical College and Hospital is a tertiary Rural Medical Institution catering to the health needs of surrounding villages of Guntur, Prakasam and Krishna districts. Acute Pancreatitis presenting as acute abdomen is a common surgical emergency encountered in our hospital. Therefore a prospective study of 60 cases of clinically diagnosed acute pancreatitis was undertaken from August 2012 to July 2014. For each and every patient detailed clinical history was recorded and were subjected to serial hematological specific investigations like serum amylase and lipase as well as radiological tests like ultrasonography of the abdomen and contrast enhanced computed tomography in selected cases. Ultrasonography of abdomen is the most in valuable diagnostic test with accuracy of 81.6% in our series. Acute Pancreatitis is a common and challenging disease that can develop both local and systemic complications. The most common causes are alcoholic pancreatitis and gall stone pancreatitis which account for 80% of cases. In our study group, 59 cases were managed conservatively and 01 case had undergone cholecystectomy for gall stone pancreatitis with good post-operative recovery. 01 case had died due to severe gastrointestinal bleeding in spite of medical management in intensive care unit. Hence the main stay of management in Acute Pancreatitis is still conservative in majority of cases, while surgical intervention is required only in few cases of severe acute pancreatitis with complications. The objective of this research study was to correlate between various etiological factors, age and sex prevalence with special emphasis on its uniform and standardized management.