Abstract

Objective: To study the etiology, management and outcome of acute pancreatitis at a tertiary care hospital.
Methodology: This descriptive study was conducted at Surgical Unit-I of Holy Family Hospital, Rawalpindi from January 1, 2014 to January 31, 2015 and included 114 consecutive patients admitted with acute pancreatitis. Data were collected with reference to etiological factors, clinical presentation, management and outcomes.
Results: Out of 114 patients, 74 (64.91%) were female. Gallstones were responsible for 80 (70.17%) cases, followed by drugs in 18 (15.73%) cases. On Ranson’s Scoring, 67 (58.77%) cases had Ranson’s score between 0-3. 64 (56.14%) cases had moderate disease according to CT severity index (CTSI). 101 (88.6%) were managed conservatively. Mortality was observed in 16 (14.03%) patients.
Conclusion: Acute pancreatitis, in our setup, shows a lower frequency when compared to the international literature. However, with respect to etiology and presentation, the pattern remains the same. Meanwhile, due to adaptation of western life style, the incidence seems to be increasing.

Key words: Acute Pancreatitis, Ranson’s criteria, pancreatic ascites.