Author:
Ram Nakhul,Nagwani Akshay,Jumkhawala Khatija,Bhusare. D.B.
Abstract
Acute pancreatitis is one of the common disorder of the
gastrointestinal tract, that exhibits a very broad clinical spectrum and
leads to tremendous emotional, physical and nancial human burden.
(1,2) Acute pancreatitis is a serious disease which has high risk of
(3,4) morbidity and mortality, overall ranging up to 10%. There have
been many changes in the classication and denitions of acute
(5) pancreatitis since the Atlanta classication from 1992. Only 20% of
patients presenting with acute pancreatitis lands up with systemic and
(6,7) local complications. Mortality associated with severe pancreatitis
can be as high as 40%, especially when the infective foci in the
(8)
pancreas develops. In cases presenting with abdominal pain
diagnosis of acute pancreatitis in many cases is often difcult even up
to late stages. Some biochemical markers are available for diagnosing
acute pancreatitis like plasma levels of amylase and lipase but these
markers are often time consuming and lack rapid use and have high
(9) specicity but low sensitivity. CT is one of the best modality for
(10) diagnosis of acute pancreatitis. It has high accuracy in diagnosis of
severe attacks. But because of its cost and limited availability and the
potential side effects from the contrast material Ct cannot be
(6,10) performed every time. And many a times repeated CT scans have to
be done to look for the prognosis of pancreatitis so cost and radiations
are the major disadvantage.
Subject
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