STUDY OF INTRAABDOMINAL PRESSURE IN ACUTE PANCREATITIS AND ITS CORRELATION WITH DISEASE SEVERITY

Abstract

INTRODUCTION: Acute pancreatitis is one of the commonly encountered surgical conditions in the emergency department. Prognostication is done by various biochemical assays and scoring systems. Intra abdominal pressure (IAP) measurement has strong potential use as a prognostication and interventional marker. In this study we aim to determine the association between the intra abdominal pressures and the severity, morbidity, mortality and the prognosis of the patient. METHODS: This study is prospective observational study. 100 patients diagnosed with acute pancreatitis were observed from the day of admission and followed up to the day of discharge. Intra abdominal pressure to be measured by the intravesical method.. RESULTS : There was significant linear correlation between raised intra abdominal pressure (IAP) and duration of hospitalization. In groups of patients who suffered complications, IAP was noted to be significantly higher, compared to the group of patients with no complications. (p <0.0001)There was a significant correlation of the baseline IAP (IAP at admission) with the MCTSI (pearson correlation coefficient = 0.534), APACHE II score (Pearson correlation coefficient = 0.511). IAP also showed positive linear correlation with ranson score (Pearson correlation coefficient = 0.383) CONCLUSION: IAP measurement is cheap, easy, and minimally invasive modality. It can be easily measured in catheterized patients. It is faster and easier than the existing scoring modalities and can reliably predict hospital stay, complications, and the prognosis in acute pancreatitis.