A study on etiology and risk factors of recurrent acute pancreatitis in a tertiary care hospital

Siddharth Bhaudas Lonare; K. Bhoomika; Chendkapure Krunal Atmanand; Prasanna Jaiprakash Gore

doi:10.53730/ijhs.v6nS3.7378

Authors

Siddharth Bhaudas Lonare Assistant Professor, Department of General Surgery, B. J Government Medical College, Pune, Maharashtra
K. Bhoomika Assistant Professor, Department of General Medicine, B. J Government Medical College, Pune, Maharashtra
Chendkapure Krunal Atmanand Senior Resident, Department of General Surgery, B. J Government Medical College, Pune, Maharashtra
Prasanna Jaiprakash Gore
Prasannagore@gmail.com
Assistant Professor, Department of General Medicine, B. J Government Medical College, Pune, Maharashtra

Abstract

Acute recurrent pancreatitis (ARP) is a clinical condition characterized by repeated episodes of acute pancreatitis; ARP is therefore diagnosed retrospectively by clinical definition after at least the second episode of acute pancreatitis. To evaluate the etiology and risk factors of recurrent acute pancreatitis. Institutional prospective Observational study. The study was done in Department of Surgery of a tertiary care Centre. 1 year. Patient admitted in ward and intensive care unit in tertiary care hospital with recurrent attack of acute pancreatitis. A total of 100 were included in the study. Simple Random sampling method. Informed consent was taken from all participants before inclusion in the study. After admission to the hospital, a detailed clinical history along with thorough clinical examination of the patient was done. Relevant investigations were undertaken to make the diagnosis. Most common associated complications were pseudocyst of pancreas (13%) followed by splenic vein thrombosis (4%). Pancreatic abscess, necrosis and superior mesentric vein thrombosis was reported in 2 cases each (2%). Recurrent Acute pancreatitis is a common clinical condition. After confirming the attacks are truly pancreatitis, the etiology was identified in about 70% of cases with thorough investigations while 30% still remained idiopathic.

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