Complications of acute pancreatitis in tertiary care hospital

Akhter, Soubia; Khan, Zaeem Ur Rehman; Ahmed, Bilal; Ahmed, Farah; Memon, Zahid Ali

doi:10.5348/ijhpd-2017-69-oa-5

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…The results of the present study disagree with (Akhter et al, 2017) [1] who stated that, acute fluid collection around pancreas being the top line complication, followed by other complications including pleural effusion, pseudocyst, pancreatic ascites, sterile and infected pancreatic necrosis, portal or splenic vein thrombosis, hyperglycemia, hypocalcemia, and renal failure are rare. The results of the present study disagree with (Zerem, 2014) [16] who stated that, the most common local complication was acute fluid collection followed by pancreatic necrosis, pancreatic abscess and infected pancreatic necrosis, in the same line The results of the present study disagree with (Desai et al, 2016) [4] who stated that, the most common complications were pulmonary followed by acute renal failure.…”

Section: Discussioncontrasting

confidence: 99%

“…The results of the present study agree with (Guercioni et al 2009) [5] who stated that, Women are two times more commonly affected, likely related to the increased prevalence of cholelithiasis in females. These result are in line with the result reported by (Akhter et al 2017) [1] who found that a female to male predominance with the ratio of www.nursingjournal.net 2:1. This epidemiological data was also confirmed in other study which stated that biliary acute pancreatitis being twice frequent in women than in men.…”

Section: Discussionsupporting

confidence: 92%

“…It can be divided into the following categories: edematous and interstitial or mild acute pancreatitis; necrotizing or severe acute pancreatitis. Severe acute pancreatitis (SAP) is a multi-system disease which is characterized by two phases the first phase comprises multiple organ system failure due to a systemic inflammatory response and second phase associated with complications such as necrosis, pseduocysts, pleural effusion or ascites (Akhter et al 2017) [1] . The incidence of acute pancreatitis had been increasing over the past several decades and is as high as 73.4 cases per 100,000 populations worldwide, and 75% of patients who present to the emergency department (ED) will require admission, Women are two times more commonly affected, likely related to the increased prevalence of cholelithiasis in females.…”

Section: Introductionmentioning

confidence: 99%

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Effect of an educational program about acute pancreatitis patients outcomes

Mohammed¹,

Mohammed²,

Mehany³

2019

Int. J. Adv. Res. Nurs.

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Background: Acute Pancreatitis is defined as a reversible inflammation of pancreatic parenchyma which is characterized by the presence of interstitial edema, acute inflammatory cell infiltrates and varies degree of cellular apoptosis, necrosis and hemorrhage. Nursing care for patients with acute pancreatitis must be directed at preventing complications, and optimizing patients' outcomes. Aim: The aim of this study was to evaluate effect of an educational program about acute pancreatitis on patients' outcomes. Design: A quasi-experimental research design was used to conduct this research. Setting: The study was conducted in the intensive care unit at Assiut University, Rajhy Hospital for Liver. Subjects: A convenience sample of 60 adult patients diagnosed with acute pancreatitis. Tools: Data were collected using: tool I patients' assessment sheet, Tool II patients' outcomes sheet. Results revealed that the majority patients of pre and post program ranged between 18-77 years with mean of (42.37±18.4), most of them female, there was statistically significant difference regarding ascites (p=<0.001**) between patients` group pre and post program. Conclusion:The incidence of acute pancreatitis complications for patients cared by nurses who received education program was decreased. Recommendation: Replication of this research on a larger probability sample acquired from different geographic area in Arab republic of Egypt for generalization.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Effect of an educational program about acute pancreatitis patients outcomes

Mohammed¹,

Mohammed²,

Mehany³

2019

Int. J. Adv. Res. Nurs.

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“…Moreover, we have observed that among pancreatic complications, acute fluid collection was the most common complication seen in 26.7% (16/60) patients. This is comparable to the studies done by Ramu et al [ 5 ] and Akhter et al [ 14 ], where acute fluid collection was the most common pancreatic complication (29.1% and 41% respectively) reported by both studies.…”

Section: Discussionsupporting

confidence: 90%

Acute Pancreatitis: Clinical Profile of 60 Patients

Thakur,

Kaur,

Bhatia

et al. 2023

Cureus

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Introduction Acute pancreatitis (AP) is a common differential diagnosis of acute pain abdomen and cannot be considered self-limiting as it has serious early and long-term impacts. Depending on severity, AP is divided into mild, moderately severe, and severe AP. Management of AP involves accurate diagnosis, high-quality supportive care, monitoring for early detection and treatment of complications, and prevention of relapse. Aim To assess the etiological risk factors, clinical profile, and complications in patients with AP. Methods The present study was conducted on 60 eligible patients admitted to the Department of Medicine, Government Medical College, and Hospital of Northern India. A diagnosis of AP was established based on the revised Atlanta classification (2012) for the classification of AP, and relevant data were collected and statistically analyzed. Results Most of the AP patients were in the 21-40 year age group. The majority were males (88.3%). Alcohol was the most common etiological factor in 76.7% of patients followed by cholelithiasis in 10% of patients. Pain abdomen was the most common presenting clinical feature occurring in 96.7% of patients and vomiting in 65% of the patients. Acute fluid collection was the most common pancreatic complication occurring in 26.7% of the patients, pancreatic edema was seen in 21.7%, and pancreatic necrosis in 15%. Among extrapancreatic complications, ascites was most commonly seen in 50% of patients followed by pleural effusion in 15%, shock in 15%, multiple organ dysfunction syndrome (MODS) in 15%, and hypocalcemia in 11.7% of patients. Conclusion AP should be one of the differentials for patients presenting with pain abdomen, especially when probable risk factors such as alcohol abuse and cholelithiasis are present. A high index of suspicion to diagnose AP is needed as timely management may prevent systematic complications, thus improving the outcome. Poor prognostic indicators are raised levels of total serum bilirubin, raised serum lipase, reduced serum albumin, and low platelet count among AP patients.

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“…From Pakistan; AKI as complication of AP has been variably reported 1-14%, while mortality with AP ranges from 0 to 30%. 15 - 18 Present study is based on data from a tertiary renal care hospital therefore; prevalence of AP or AKI with AP cannot be commented as AP was treated by internists and surgeons according to etiology and only referred here when renal dysfunction is noticed. Tran DD et al report 16% prevalence of AKI with AP 19 , same authors have reported better prognosis in nonoliguric form of renal failure in their AP patients, but in our study 83% patients were oliguric on presentation with closely falling frequency among patients who recovered and died during acute illness.…”

Section: Discussionmentioning

confidence: 99%

Acute Kidney Injury in association with Acute Pancreatitis

Naqvi¹

2018

Pak J Med Sci

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Objective:To report case series of patients with acute kidney injury (AKI) developing in association with acute pancreatitis (AP).Methods:All patients coming to Sindh Institute of Urology and Transplantation (SIUT), who developed AKI in association with acute pancreatitis, were included in the study. AKI was defined with sudden rise in creatinine and decline in urine output with normal size kidneys and no previous co morbid. AP defined as patients with abdominal pain and > 3 times rise in serum amylase and /or lipase and radiology suggestive of AP.Results:Between 2000- 2017, 24 patients were found to have AKI in association with AP. Among these 13 were female, mean age was 36.875±10.152 years. Oligoanuria was present in 83%, 46% were icteric on presentation, 42% had circulatory failure, 33% had respiratory failure, 17% had abnormal Glasgow Coma Scale. Renal replacement was required in 79% patients. Complete renal recovery was observed in 54% patients, while 37% died during acute phase of illness. Multi-organ failure showed high prediction of mortality.Conclusion:Being a tertiary renal care unit only patients with renal failure were referred to our hospital, thus exact prevalence of AKI in AP is not known. Multi organ failure (MOF) has shown high mortality in this case series.

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Complications of acute pancreatitis in tertiary care hospital

Cited by 3 publications

References 18 publications

Effect of an educational program about acute pancreatitis patients outcomes

Effect of an educational program about acute pancreatitis patients outcomes

Acute Pancreatitis: Clinical Profile of 60 Patients

Acute Kidney Injury in association with Acute Pancreatitis

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