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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Study of Etiology and Outcome in Cases of Acute Pancreatitis: An Institutional Study

U. Ramakrishna
Page: 371-377 | Received 22 Oct 2010, Published online: 31 Dec 2010

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Abstract

including complications, ICU requirement, interventions, length of hospital stay, and mortality. This hospital‐based observational study was conducted in the Department of General Surgery, Mamata Medical College. Fifty consecutive patients with acute pancreatitis were included. Diagnosis was based on clinical features, elevated serum amylase and/or lipase, and imaging findings. Etiology was determined using history, laboratory investigations, and imaging (ultrasonography and contrast‐enhanced CT when indicated). Disease severity was assessed using standard clinical and radiological criteria. Patients were followed until discharge or death, and data were analyzed using descriptive statistics. The mean age of patients was in the fifth decade, with a male predominance. Alcohol consumption and gallstone disease were the most common etiological factors. Abdominal pain was the universal presenting symptom. Most patients had significantly elevated pancreatic enzymes and leukocytosis. Ultrasonography identified biliary pathology in a substantial proportion, while contrast‐enhanced CT in selected cases revealed pancreatic necrosis and local complications. Complications occurred in 44% of patients, 28% required ICU care, and the mean hospital stay was approximately 9–10 days. Overall mortality was 6%. Acute pancreatitis predominantly affects middle‐aged males, with alcohol and gallstones as leading etiological factors. Although the majority of patients recover with conservative management, a significant proportion develops severe disease requiring intensive care. Early etiological evaluation and timely severity stratification are crucial for improving outcomes and reducing mortality.


How to cite this article:

U. Ramakrishna. A Study of Etiology and Outcome in Cases of Acute Pancreatitis: An Institutional Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2010.371.377
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2010.371.377