Clinical Pattern of Acute Gallstone Pancreatitis in Manipur

Abstract

Acute pancreatitis occurs only in 4-8% of patients with gallstone disease and 50% acute pancreatitis recur within 1-6 months. As in other parts of country, the incidence of gallstone disease has been increasing in our region. This study has been carried out in our hospital to find out the disease pattern. MATERIALS AND METHODSAll the patients admitted with acute gallstone pancreatitis during the period were included. Various biochemical parameters and radiological investigations like x-ray, Ultrasonography (USG), Computerized Tomography (CT) of abdomen were done in all patients. The treatment plan was focused on adequate initial resuscitation, supportive care and early detection of complications. Duration of stay in the hospital, complications and followup were recorded. RESULTSThirty two patients were included in the study; 41-60 years was the most common age group. Male:Female ratio was 1:2.2. Meitei was most commonly affected ethnic group. Epigatric pain and tenderness were the most common clinical features. Most (75%) of the patient's serum amylase was above three times the upper normal limit. Ultrasonography diagnosed 75% of cases, whereas computerized tomography diagnosed 100%. Average hospital stay was 8 days. Complications included pleural effusion and pseudocyst. CONCLUSIONGenetic basis of occurrence of gallstone pancreatitis among the various ethnic groups of Manipur needs to be addressed. Serum amylase and ultrasonography were useful initial diagnostic modality. The acceptance of index cholecystectomy in our local population is very low and the awareness of treatment modalities has to be increased.