Prospective Study of Complications of Acute Pancreatitis (Local and Systemic) and its Management

Objective: To study various presentations, investigations and complications of acute pancreatitis and their management. Methods: prospective study of complications of acute pancreatitis (local and systemic) and its management. The study randomly enrolled the patients of acute pancreatitis as determined by clinical, biochemical, and radiological diagnosis. The following parameters were considered complicated pancreatitis. Development of systemic complications and development of local complications. In follow- up all the discharged patients were advised to come for follow up weekly for a period of 3 months. Results: The study includes a total of 50 patients of complicated pancreatitis. 42 male and 8 female. The peak incidence in male is 4th decade in life and in female 3rd decade in life. Alcohol accounts 80% total cases where as gall stone contributes 16%. Most systemic complication were managed in general wards except few patients in ICU those were associated with septicemia and ARDS. Systemic complication were managed with supportive and conservative management. Local complications were managed conservatively and with operative procedures. Pseudocyst <6 cm were managed with regular USG abdomen follow up 75% resolved Pseudocyst >6 cm undergone operative procedure. All the patients with pancreatic necrosis were kept in ICU. Pancreatic abscess were managed by USG/CT guided aspiration. Conclusion: Most systemic complication were managed in general wards except few patients in ICU those were associated with septicemia and ARDS. Systemic complication were managed with supportive and conservative management. Local complications were managed conservatively and with operative procedures. In general mortality from local complications was 13% mortality from systemic complication was 4%.