Patients Presenting with Features of Acute Pancreatitis were Admitted : A Part from the Book Chapter : Predicting Prognosis of Acute Pancreatitis Patient in a Tertiary Centre with Help of BISAP Scoring

Patients presenting with features of acute pancreatitis were admitted, a detailed history was taken and thorough local and systemic examinations were made. Patients were investigated for complete blood count, blood glucose level, kidney function tests, liver function tests, serum calcium, serum amylase, C-reactive protein, plain radiograph of the abdomen and chest, and an ultrasound scan of the abdomen. If ultrasound findings were doubtful or diagnosis could not be established, contrast-enhanced computed tomography (CECT) abdomen was done. We did not do CECT in all the patients to minimize the expenditures. BISAP scores were calculated from laboratory values and radiological findings. If the BISAP score was low, patients were managed in the general ward, if the score was higher, patients were admitted in intensive care units and managed.

Author(s) Details:

Kanwar Singh Goel
Department of General Surgery, SGT Medical College, SGT University, Budhera, Gurugram, Haryana,
India.

Nikhil Goel
Department of Psychiatry, Shaheed Hasan Khan Mewati Government Medical College, Nuh, India.

Sapna Singla
Department of Pathology, Shaheed Hasan Khan Mewati Government Medical College, Nuh, India.

Also See : Hypertension in Young People : A Part from the Book Chapter : Prevalence of Hypertension Disorders among Adolescent Students in Ghana

Recent Global Research Developments in Diagnosis and Management of Acute Pancreatitis

“Acute Pancreatitis: A Review” – This review, published in the Journal of the American Medical Association (JAMA), covers the pathogenesis, diagnosis, and management of acute pancreatitis, including advances in risk stratification, fluid management, and nutrition[1] .

“Validation of a Prediction Model for the Diagnosis of Acute Pancreatitis” – Published in JAMA Network Open, this study focuses on the validation of a clinical model for the early diagnosis of acute pancreatitis in the emergency department [2] .

“New Insights into Acute Pancreatitis” – This article in Nature Reviews Gastroenterology & Hepatology provides a summary of recent advances in the pathophysiological mechanisms and clinical management of acute pancreatitis [3] .

“Acute Pancreatitis: Recent Advances Through Randomised Trials” – Published in Gut, this review emphasizes the evidence obtained through randomized controlled trials for diagnosing, classifying, and managing acute pancreatitis [4] .

“Diagnosis and Management of Acute Pancreatitis” – This article in Gastroenterology discusses the increasing incidence of acute pancreatitis and the major changes in its management over the last decade [5] .

References

1. Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. 2021;325(4):382–390. doi:10.1001/jama.2020.20317
2. Jin DX, Lacson R, Eskian M, et al. Prospective Validation of a Prediction Model for the Diagnosis of Acute Pancreatitis. JAMA Netw Open. 2024;7(6):e2419014. doi:10.1001/jamanetworkopen.2024.19014
3. Lee, P.J., Papachristou, G.I. New insights into acute pancreatitis. Nat Rev Gastroenterol Hepatol 16, 479–496 (2019). https://doi.org/10.1038/s41575-019-0158-2
4. Van DIjk, S. M., Hallensleben, N. D., van Santvoort, H. C., Fockens, P., van Goor, H., Bruno, M. J., & Besselink, M. G. (2017). Acute pancreatitis: recent advances through randomised trials. Gut, 66(11), 2024-2032.
5. Munoz, A., & Katerndahl, D. A. (2000). Diagnosis and management of acute pancreatitis. American family physician, 62(1), 164-174.

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