To evaluate accuracy of multislice CT scan as early predictor of severe pancreatitis
Author(s): Dr. Apoorv Shrivastava
Abstract:Background: In this study 200 patients with an aim to evaluate accuracy of Multislice CT Scan as early predictor of Severe Pancreatitis at Index Medical College, Indore, of the departments of General Surgery & General Medicine with a diagnosis of acute pancreatitis. Method: This is a prospective observational study to evaluate whether the C-reactive protein (CRP) levels and blood urea nitrogen predict the severity of pancreatitis by correlating these levels with CT severity index. Patients were enrolled in the study after obtaining informed patient consent. Result: Spearman's rho of bivariate analysis was done to see the correlation between the CECT on day 3rd with Marshall scoring system on 7th day of admission. Spearmans rho value was 0.772, which shows the strongest positive correlation. Kruskall-Wallis Test was applied to calculate the p value of test is 0.000, which was found statistically significant. Conclusion: To conclude, present study was again emphasize to significance of serial monitoring of BUN and CRP on day 1st 3rd 6th and Multi-slice CT scan as early prediction of severity of Pancreatitis. Although CECT alone is an excellent modality to predict the severity of Pancreatitis, but the levels of BUN & CRP acts as an adjunct to predict the severity more accurately.