Management of patients with acute pancreatitis In Al- Karama Teaching Hospital

Abstract

Background: Acute pancreatitis is an acute inflammatory condition. It's not an uncommon disease, inboth the developed and developing countries, causes high morbidity and mortality, and inflicts aheavy economic burden. Severe acute pancreatitis is present in up to 25% of patients with acutepancreatitis, with considerable mortality. Changes in the management of acute pancreatitis in the last 2decades contributed to reduce the mortality.Objective: was to review the diagnosis and management and outcomes of patients with acutepancreatitis of patients with acute pancreatitis in Al- Karama teaching hospital.Patients and Methods: This prospective study included 63 patients with acute pancreatitis in surgicaland medical wards in Al- Karma teaching hospital from the 1st October 2014 to 30th September 2017.Results: 63 patients with acute pancreatitis were included 35 male and 28 female patients with upperabdominal pain in which the diagnosis was not confirmed by CT or serum amylase or by CRP are notincluded in this study. Age and gender had no significant relations to outcome. Medical therapy is themainstay, with supportive therapy consisting of controlled volume resuscitation and enteral feeding.Minimally invasive drainage and debridement play a role in managing infective pancreatic necrosisbut in general should not be used until at least 4weeks after the acute illness.Conclusions: Acute pancreatitis is a benign abdominal disorder in up to 85% of cases. In theremaining 10%-15% of cases the disorder is life threatening with management of the disorderrequiring admission to an intensive care unit with cardiovascular, respiratory, and renal monitoringand support.