DOI: 10.36347/sjams.2017.v05i12.077

Pages: 5210-5214

Introduction: Acute pancreatitis is a common digestive system disease, which is caused by abnormal digestive enzymes in the patient’s own organs, resulting in inflammation of the pancreatic secretions. Evidence-based care on patients with acute pancreatitis and observes the improvement of patients’ compliance and quality of life, aiming at providing effective care for future clinical diagnosis and treatment of acute pancreatitis. Material and Methods: This is prospective and observational study conducted at Department of General Medicine, Shadan Institute of Medical Sciences over a period of 6 months. The details of endoscopic treatment, such as stent type, number of interventions needed, complications and need for further intervention, were recorded. Similarly, we determined the type of surgical operation and complications. Diagnosis was based on imaging tests including abdominal ultrasound, computed tomography, magnetic resonance imaging (MRI), endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS), including morphological findings typical of the different modalities. A cytological or histological diagnosis was performed using brush cytology during ERCP, fine needle aspiration biopsy (FNAB) or surgical biopsy/resection. Results: Total 110 patients were enrolled in the study (Table 1). The mean age of the population was 53.23 years. There were more males than females (80% vs. 20%, respectively). We performed abdominal ultrasonography in 93 patients (84.5%), CT scans in 63 (57.2%), MRI-MRCP in 9 (8.1%), diagnostic ERCP in 41 (37.2%) and endoscopic ultrasonography in 8 (7.2%). Endobiliary stents were implanted in 49% of all endoscopic interventions: of those, a single plastic stent was implanted in 48.1%, multiple plastic stents in 38.8%, a metal stent in 1.8% and a covered metal stent in 1.8%. Surgery was performed in 28 patients (25.4%) from among the population under investigation in the period under examination. Pancreatic dec