Severity Valuation of Acute Pancreatitis with CT Severity Index and Modified CT Severity Index
Author(s): Ankush Misra, M Senthil Velan and G Jayalakshmi*
Abstract
Introduction: The pancreatitis is one of the commonest intestinal disorder and existing as a clinically most complex disease due to the challenges in determining its severity. The severity stratification plays a main role in planning the treatment, prediction of organ failure among the acute pancreatitis patients. Though, many methods are existing, computer topography (CTSI) and modified CTSI are mainly used in hospitals. The present study aimed to analyse the disease severity among the patients admitted to the clinic.
Methods: This research was conducted on the patients who presented with acute pancreatitis diagnosed either clinically or ultrasonography (n=101, 14 were excluded in the study). All patients were subjected to CECT abdomen, according to which CT severity index and Modified CT severity index was calculated based on Revised Atlanta Score (RAC).
Results: Outcome was assessed by several factors which included duration of hospital stay, ICU admission, mortality or survival of the patient. Types of intervention tried i.e conservative or surgical. It was observed that as the severity index and score progressed for the patients, the outcome of the disease was also more morbid which was evident by the increase in revised atlanta Score of the patient. CT Severity Index (CTSI) and Modified CT Severity Index (MCTSI) increased concomitantly with Revised Atlanta Score (RAS).
Conclusion: In conclusion, it was observed that CT is an important solitary imaging modality to evaluate subjects with acute pancreatitis.