Acute Pancreatitis Case Study

Prognosis of acute pancreatitis at Sultan Qaboos University Hospital (SQUH) from 2006 to 2012

A research report

Submitted by:

Fatma Ahmed Hamood ALAmri

ID: 93587

Acknowledgement

I thank who helped me in this study along three semesters with my supervisor , These people are:

- Hospital information system (HIS) stuffs

- Dr. RandaYousiuf, Associate professor

- Dr. HamzaBabiker, the course coordinator

- Dr. Syed Razfi, Statistician, Associate professor

- Medicine department in Sultan Qaboos University Hospital

- Biochemistry department in Sultan Qaboos University Hospital

Also I thank my family and all friends who gave the help when needed. A special thank for my partner in this study Moza Talib AL Adawi , who was dealing with Etiology

A prevalence of about 10% is considered as important. The abdominal pain in the acute pancreatitis is the cardinal manifestation , so it was chosen by this study in collecting the sample. Unfortunately, this is apply in SQUH not other hospitals that will required further studies as the SQUH patients not represent the actual Omani population .It is uncommon to have a pancreas disease in this region although we found an increscent in the number of patient admitted with signs of an attack of pancreatitis. In other hand, the western countries labeled the pancreas as an organ account for common diseases and health problems (Savu et al. 2009).

Acute pancreatitis can affects all age group but the result of this study showed that (25-50) is the most age group affected by acute pancreatitis (59%) . In the other countries, Saudi Arabia as an example, they found that the age group > 50 years is the most common one between the patint (49%) (Al-Karawi et al., 2001).

Acute pancreatitis diagnosis is depend on many changes and indexes specially the biochemical features and changes. Vomiting , nausea and abdominal pain may suggest an attack of pancreatitis. Severity indexes are used to accurate assessment of the condition as the patient will undergo wide range of pathological process (Fleming

The remaining 32.2% (n=56) was divided into : 24.1% (n=42) with 1 complication , 5.1% (n=9) with 2 complications and 2.8% (n=5) with 3 complications (fig 5). Chronic pancreatitis was the most common complication (44.6%) (n= 25) followed by pancreatic pseudocyst (30.3%) (n=17), while the illus and malabsorption were the less common ones (1.7%) (n=1). In western countries the chronic pancreatitis is also the commonest, while in Saudi Arabia diabetes mellitus is the most common one. No deaths among pancreatitis patients at SQUH in contrast to Saudi Arabia that found 12% percentage of deaths secondary to pancreatitis (Al-Karawi et al.,