Management of acute pancreatitis: an experience at Mayo Hospital, Lahore

  • Abrar Ashraf Ali
  • Behzad Akram Niazi
  • Nabeel Naqvi
  • Khalid Masood Gondal
  • Haroon Rafiul Islam
  • Abdul Majeed Chaudhry

Abstract

This is a retrospective as well as prospective study of 46 patients with acute pancreaitis who were managed in North Surgical Unit of Mayo Hospital, Lahore. This study was carried out with special emphasis on need of surgical treatment and its outcome. No age group or sex was found immune to this disease. It was more common in 3rd to 4th decade of life and female sex. The commonest etiology is gall stones (54%) followed by alcohol (8%) and idiopathic (15%). Pain epigastrium is a constant symptom. Judicious use of serum amylase urinary amylase and ultrasonography can help in early diagnosis of the acute pancreatitis. Complications are best diagnosed on CT scan. Majority of patients were treated successfully by conservative measures (44%) but developed complications which carried high morbidity and mortality. Surgical treatment of associated gall stones has prevented recurrent attacks of acute pancreatitis. Hence cholecystectomy for associated gall stones is recommended during same admission for mild to moderate pancretitis after resolution of symptoms.
Published
2016-05-11
How to Cite
ALI, Abrar Ashraf et al. Management of acute pancreatitis: an experience at Mayo Hospital, Lahore. Annals of King Edward Medical University, [S.l.], v. 10, n. 2, may 2016. ISSN 2079-0694. Available at: <http://www.annalskemu.org/journal/index.php/annals/article/view/1206>. Date accessed: 25 nov. 2017. doi: https://doi.org/10.21649/akemu.v10i2.1206.
Section
Articles

Keywords

Prospective Study. Retrospective Studies. Pancreatitis. Acute Disease. Electrosurgery. Cohort Studies. Cholangiopancreatography, Endoscopic Retrograde. Electrocoagulation. Social Environment.

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