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Year :2020
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Month :
January-February
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Volume :
9
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Issue :
1
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Page :
RO06 - RO09
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Evaluation of Modified Computed Tomography Severity Index in Acute Pancreatitis
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Correspondence Address :
Santh Kumar Bellamkonda, Vajra Veena Koneru, Amulya Ramadugu, P. Moses Ezra Raghavan,
Dr. Amulya Ramadugu,
Dr. Pinnamaneni Siddhartha Institute of Medical Sciences Hospital, Chinontapally, Gannavaram Mandal,
Vijayawada-521286, Andhra Pradesh, India.
E-mail: amulyaramadugu.16@gmail.com
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Introduction: Introduction: Acute pancreatitis is a severe inflammatory process involving pancreas which may remain localised within the pancreas or spread to regional tissues, involving adjacent or remote organs and may run a highly unpredictable clinical course with variable outcome. Contrast enhanced Computed Tomography (CT) scan is the gold standard technique for accurate depiction of pathology and complications of pancreatitis. Modified CT Severity Index (MCTSI) helps in evaluating the pancreatic inflammation and necrosis and it is also used for assessment of extrapancreatic complications of acute pancreatitis.
Aim: To evaluate the severity of acute pancreatitis and to correlate MCTSI with clinical outcome and hospital stay.
Materials and Methods: A hospital based prospective study was done in Department of Radiodiagnosis of tertiary care hospital for a period of two years from November 2015 to October 2017 on 30 patients with findings suggestive of acute pancreatitis. The outcome parameters like length of hospital stay, development of infection and organ failure were studied.
Results: A total of 30 patients, 23 males and 7 females were included. Mean age of the patients was 42.1±2.5 years. Alcohol was found to be the most common aetiological factor in male patients for acute pancreatitis. Most common site for peripancreatic inflammatory change was anterior pararenal space. Overall the mortality rate noted in study was 3.3%. A total of 7 (23.3%) patients underwent surgical or percutaneous interventions. Patients were characterised as mild 15 (50%), moderate 10 (33.3%) and severe pancreatitis 5 (16.7%) respectively. A significant correlation was seen between the modified severity index score and the development of organ failure, presence of infection, need for the surgical procedure and length of hospital stay.
Conclusion: MDCT is an effective modality for imaging pancreas. Grading of acute pancreatitis according to the severity of the disease in the form of MCTSI helps to predict the clinical outcome of the disease and guide the clinician who needs interventions.
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