Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Pancreatitis diagnosis often involves measuring amylase and lipase levels, but their serial monitoring during acute pancreatitis doesn't offer substantial value in predicting disease severity, prognosis, or guiding management decisions. Additionally, routine use of abdominal CT scans at initial presentation lacks clear evidence of improving clinical outcomes, as the full extent of pancreatic and peripancreatic necrosis may only become apparent after about 72 hours post‐onset. This prospective observational study utilized the Modified Glasgow Score to identify cases of Mild Acute Pancreatitis and Severe Acute Pancreatitis in 167 patients. Researchers also employed the Modified CT Severity Index to categorize the severity of acute pancreatitis into mild, moderate and severe based on CT scans. The severity of acute pancreatitis, as assessed by the Modified Glasgow Score and Modified CT Severity Index, varied among the patients studied, with distinct proportions categorized as mild, moderate, or severe. Based on CT scans, classified 79 cases as mild, 37 as moderate and 51 as severe out of 167 patients. Based on the findings, it can be concluded that serial measurements of amylase and lipase levels and routine abdominal CT scans at initial presentation may not offer substantial benefits in guiding the management of acute pancreatitis. Other factors and diagnostic modalities may need to be considered to enhance the accuracy of prognosis and treatment decisions in patients with acute pancreatitis.
How to cite this article:
Savita Aharwal, Santosh Kumar, Shobhita Kumar Mane and Naresh Kumar Patel. Clinical Profile of Acute Pancreatitis and its Correlation with Modified Glasgow and CT Severity
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DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.467.470
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.467.470