Abstract:
Introduction :
Acute pancreatitis is a common acute medical condition requiring emergent care.
The disease manifests in a wide range of severity, ranging from the mild peripancreatic
edema to the potentially life threatening infected necrotizing and hemorrhagic
pancreatitis.
Radiological evaluation using the Balthazar radiological CT severity index is
being increasingly used to identify infected necrosis as well as to determine the severity
of pancreatitis and also clinical scores like BISAP’S to assess the organ failure.
Aims and Objective :
To compare the accuracy of Ranson’s score, BISAP’s score and Balthazar’s CT
severity index scores in assessing severity of acute pancreatitis with respect to clinical
outcomes.
Materials and methods :
All patients diagnosed to have Acute Pancreatitis and admitted in Shri B M Patil
Medical College, Hospital and Research Center, Bijapur between October 2014 and May
2016.
All patients were subjected to thorough clinical examination & appropriate
investigations.
Results
Of 50 cases AP 45 were male and 5 were female; mean age 37.6 who were
evaluated for Balthazar CTSI (CECT abdomen), Ranson’s and BISAP’s clinical scoring.
xi
45 patients underwent CECT abdomen showing Balthazar CTSI is significant for
complications (P value of 0.026) in Pearson’s correlation associated with acute
pancreatitis. ROC analysis of Balthazar CTSI is significant for prediction of
complications (P value of 0.049).
Conclusion : Balthazar CTSI score was more accurate than BISAP’s and Ranson’s score, with
BISAP’s score being more easy to assess organ failure.
