Title: Clinical Profile of Acute Pancreatitis in Magadh Region of Bihar, India
Authors: Rajiv Ranjan, A K Jha, K. K. Sinha
Background: Acute pancreatitis remains a disorder with devasting consequences. Although most episodes are mild and self-limiting, up to one fifth of patient develop a severe attack that can be fatal. In spite of technical advances in medical and surgical field’s acute pancreatitis remains a major cause of morbidity and mortality. So this challenging subject is taken up for the present study in which we will be studying age, sex prevalence and etiology and clinical presentation of acute pancreatitis. This study was a prospective observational hospital based study performed after the hospital’s ethical clearance. This study was undertaken during mid 2016 and mid 2018 at of Anugrah Narayan Magadh Medical College and Hospital, Gaya, Magadh Division of Bihar, India. 40 consecutive acute pancreatitis cases were analysed.
Objectives: To study the age, sex prevalence and etiological factors of acute pancreatitis.
Material & Methods: The study population consisted of 40 cases of acute pancreatitis that fulfilled the diagnostic criteria. Data collection on admission included age, sex, address and clinical presentation with respect to pain vomiting, gallstones trauma and drugs was noted. History of precious episodes and co- morbidities were noted. Chi-square tests were employed to find out the difference between groups of
frequencies obtained for the specific statements.
Conclusion: Out of 40 patients, Males were (55%) and (45%) were females. Majority of patients were belonging to the age group of 41-60 (42.5%) with a median age of 37 yrs. Most common etiology for acute pancreatitis was biliary (55%) followed by alcoholism (32.5%), hyperlipidemia (2.5%) and traumatic (2.5%) pancreatitis was found in one patient each and where no cause was found was labelled as idiopathic (7.5%). Biliary pancreatitis was the cause of acute pancreatitis in Females 88.3%. In males, alcoholism induced pancreatitis (50%) was most common, second commonest was biliary etiology.
Keywords: Acute pancreatitis, Alcohol, Traumatic pancreatitis, Biliary panceatitis, Gall stones.