Abdulmalik Abdullah Almaweri

Clinicopathological study of acute pancreatitis in kasr Alaini hospital / دراسة سريرية باثولوجية لالتهاب البنكرياس الحاد في مستشفى قصر العيني Abdulmalik Abdullah Almaweri ; Supervised Hisham Ahmed Aboueisha , Hesham Mahmood Amer , Ahmed Abdelsalam - Cairo : Abdulmalik Abdullah Almaweri , 2017 - 84 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

Acute pancreatitis (AP) is an acute inflammatory disease of the pancreas. Severe acute pancreatitis (SAP) is the serious form of AP with high mortality rate. AP is a very important challenge and an important cause of death in surgical practice. There are many causes of AP and vary from a country to another. The aim of this study is study this disease in Kasr Alaini hospital and identify the ages affected, sex variations, causes, severity and the outcomes. Methods: This is a prospective observational study in which all cases with proved diagnosis of acute pancreatitis from December 2016 to May 2017 were included and prospectively evaluated regarding; incidence of AP, average age, sex variation, etiology and severity of the cases depending on Ranson's score in patients admitted to emergency surgical ward in kasr Alaini hospital. Results: Fifty one cases met the Atlanta criteria of diagnosis of acute pancreatitis, which represent 3.6% of the total admissions in the general surgery emergency surgical department and represent 4.6% of the non-traumatic cases admitted in the ER general surgical department. Biliary obstruction mostly due to calculi was the most common cause of AP, acute pancreatitis was more common in female by 2.3 times, average age was 38 year- old for gallstone cases the average age was 37.5 years, most of the cases were mild cases with average hospital stay of 5 days, only 4% of the cases were sever acute pancreatitis with 12 days average hospital stay. Mortality rate was 0%. Conclusions: Acute pancreatitis represent 3.6% of the total admissions and represent 4.7% of the non-traumatic cases admitted in the surgical ER, AP is more common in females than in males (2.3:1) and average age is 38 years, the most common cause of acute pancreatitis at kasr Alaini hospital was biliary obstruction due to gall stones (84.3%). Four percents of the cases were classified as SAP



Acute pancreatitis Ranson's criteria Severe acute pancreatitis