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Original Research

BMB. 2020; 5(4): 0-0


A Retrospective Study of Patients with Acute Pancreatitis In An Internal Medicine Clinic

Belgin Boran İncebacak, Kader İrak, Ömür Tabak, Abdulbaki Kumbasar.


Abstract

Objective: Acute pancreatitis (AP) is the rapid inflammation of pancreas which could have mild to severe course and may cause life threatening conditions. It was aimed to investigate the cases followed up with the diagnosis of pancreatitis in our clinic.
Materials and Methods: 160 cases of acute pancreatitis followed between 2015 to 2017 in İstanbul Health Sciences University Kanuni Sultan Süleyman Education and Research Hospital analysed retrospectively. Demographic features of patients, etiological factors, duration of hospitalization, antibiotic usage and complications were investigated.
Results: 40.6% of the acute pancreatitis cases were male and 59,4% were female. The mean age of the patients was 56.2. In etiology of disease gallstones were detected in 42,5% of the patients, alcohol was in 4.4%, hyperlipidemia was in 0.6%, posttraumatic causes (including ERCP) were in 5.6%, drugs were in 3.8%, malignancy was in 1.3%, autoimmunity was in %3.8. 38% of patients were evaluated as idiopathic pancreatitis. On admission to hospital fever and abdominal pain were observed in 5% of the patients, abdominal pain and itching were in 1.25%, abdominal pain and jaundice were in 3.75% .
Conclusion: Although acute pancreatitis has a high mortality, the disease is mild in most patients and heals within 3 to 5 days without complications or organ failure. The most common cause in the etiology of acute pancreatitis is gallstones and idiopathic causes are second. Alcohol usage was found to be very low in etiology. Cases of acute pancreatitis should be determined quickly and accurately also cholecystectomy should be planned in those with gallstones after the attack. ERCP should be planned if there is clinical deterioration and cholangitis. Diagnosis, treatment and follow-up are important to reduce mortality in severe acute pancreatitis.

Key words: Acute pancreatitis, etiology, retrospective analysis

Article Language: Turkish English






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