Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The Pancreatitis is a common inflammatory condition of pancreas which can be of acute or chronic variety. The Incidence of acute pancreatitis has been reported as 30.0 and 2.6‐3.2 /one lac population worldwide and in India. To study the clinical profile and outcome of pancreatitis patients. A total of 82 patients of pancreatitis included in this study period of almost five and a half year of span from 1st November 2019 to 30th September 2024 were included. A total of 82 patients of pancreatitis (26 male and 56 female) were included. Acute pancreatitis cases were of age group 16‐80 years out of which maximum patient were fall in age group of 31‐45 years (40.7%) of total study group. The main cause of pancreatitis was gallstone in 48 (59.3%) patients followed by alcohol induced pancreatitis in 26 (31.7%) patients. In this study association of alcohol induced pancreatitis with CT grades and pain score were 5.24±1.09 and 4.20±0.57, gall stone induced pancreatitis with CT grades and pain score were 5.42±0.91 and 4.17±0.42, other causes of pancreatitis with CT grades and pain score were 5.50±0.75 and 4.00±0.0 with p value of 0.56 and 0.70. In this study association of glucose level and complications were found as glucose level 129.49±57.71 in patients with no severe complications and 130.43±36.32 were found in patients with severe complications. Correlation between pain grade and amylase level with r value ‐0.008 and p=0.94, correlation between CT grade and amylase level with r value ‐0.05 and p=0.64. In this study correlation between pain grade and lipase level with r value ‐0.04 and p=0.74 and correlation between CT grade and lipase level with r value 0.02 and p=0.85 were observed. In this study correlation between pain grade and TLC counts with r value ‐0.11 and p=0.32, correlation between CT grade and TLC counts with r value ‐0.01 and p=0.92 were observed. In this study it was observed that pain in RHC was most common presented symptom in 57 patients with age group of 31‐60 years followed by vomiting in 30 patients with age group of 31‐60 years. followed by fever in 10 patients with age group of 31‐40 years and one patient presented with abdominal distension. This audit was found incidence of pancreatitis dominates in females with 56 (69.1%)and male 26 (31.7%) with age group of 31‐60 years were found more affected. Most common cause of pancreatitis in this study was gall stone induced (59.3%) followed by alcohol (31.7 %) and other causes were (9.9%) .TLC counts were higher in males with age group of 46‐75 years. in this study it was also observed that higher pain grade in patients were associated with higher CT grades. hyperglycemia were also associated with higher complication rates in this study (130.43+/‐46.32). slight correlation was found between amylase levels and TLC counts maximum number of patients of pancreatitis patients presented with pain in right hypochondrium fall in age group of 31‐60 years.
How to cite this article:
Ajender Singh, Mukesh Kumar, Sanjeev Singla, Pushpendra Malik and Chanderbhan . The Clinical Profile and Outcome of Pancreatitis Cases in a Rural Tertiary Care Center: A Surgical Audit.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.441.445
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.441.445