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Acute pancreatitis in Goa--a hospital-based study
1Department of Surgery, Goa Medical College, Goa 403202.
Journal of the Indian Medical Association
|June 26, 2009
Summary
This study on acute pancreatitis in Goa found alcohol is the main cause, affecting mostly men. Severe cases had a 12.05% mortality rate, higher in older patients.
Area of Science:
- Gastroenterology
- Epidemiology
- Clinical Medicine
Background:
- Acute pancreatitis is a significant cause of hospital admissions and surgical mortality.
- Alcohol is a primary etiological factor in many cases of acute pancreatitis.
Purpose of the Study:
- To analyze the epidemiology and outcomes of patients admitted with acute pancreatitis.
- To identify risk factors and complications associated with acute pancreatitis in a tertiary care center.
Main Methods:
- Prospective analysis of 282 patients admitted with acute pancreatitis between June 2003 and January 2005.
- Diagnosis based on serum amylase levels (>180 Somogyii units) with clinical and radiographic evidence.
Main Results:
- Acute pancreatitis represented 2.29% of all admissions and 4.9% of surgical deaths.
- The disease predominantly affected males (96.1%) with alcohol as the main cause (92.2%) at a median age of 40.
- Severe acute pancreatitis occurred in 32.9% of cases, with a 12.05% mortality rate, which was higher in patients over 50.
Conclusions:
- Alcoholic pancreatitis is prevalent in younger populations in this region due to the availability of local alcohol.
- Complications such as pseudocysts, ARDS, and renal failure are common.
- Age over 50 is a risk factor for increased mortality in acute pancreatitis.
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