IMPACT OF BILIARY ETIOLOGY ON THE OUTCOME OF ACUTE PANCREATITIS

Fahad Hafeez khan; Gohar latif Kalas; Kamran Hakeem Khan et al.

Fahad Hafeez khan Medical Oﬃcer, DHQ hospital Timergara
Gohar latif Kalas Senior Registrar, DHQ teaching hospital mirpur, Azad Jamu Kashmir
Kamran Hakeem Khan et al. 3Junior Registrar, Department General surgery, Nowshehra Medical College, Nowshehra

Keywords: Acute Pancreatitis, Gall stones, Biliary Sludge, ERCP

Abstract

ABSTRACT:
OBJECTIVE: To determine the impact of biliary etiology on the outcome of acute pancreatitis. STUDY DESIGN: Randomized controlled trial PLACE & DURATION OF STUDY: Study was conducted at Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad from January 2013 to January 2014. METHODOLOGY: A total of one hundred and sixty (n=160) patients of both genders having age >13 years presented with acute pancreatitis were enrolled and randomly divided in two groups A (biliary etiology) and B (non-biliary etiology). Outcomes in both groups were noted in terms of analgesia requirement, hospital stay, need for assisted ventilation, oxygen inhalation and occurrence of local and systemic complications etc. Student t-test and chi-square test was used to analyze data. P-value <0.05 considered as signiﬁcant. RESULTS: Oxygen was required in 60% of patients in group A while 48.75% in group B during their stay at hospital. Frequency of patients who discharged within one week of admission, need ventilator support and operative management found to be 37.5%, 30% and 47.5% in group A while 47.5 %, 15% and 15% respectively in group B. CONCLUSION: Fewer complications were associated with non-biliary etiology. Frequency of favorable outcome was lower in the patients with biliary etiology.