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Research Article | Volume 13 Issue:3 (, 2023) | Pages 1391 - 1396
To study comparison of BISAP clinical rating and clinical outcome with CT-based pancreatitis severity evaluation using the updated Atlanta classification
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
Aug. 28, 2023
Abstract

Background and Objectives: The purpose of this study is to use contrast-enhanced computed tomography to categorize individuals with acute pancreatitis into interstitial edematous pancreatitis and necrotizing pancreatitis according to the updated Atlanta classification, and to describe the kind of collections in these patients. After that, we'll determine how severe it is using the new Atlanta categorization. And using the BISAP clinical rating system, discuss the disease's clinical progression and severity. Ultimately, we hope to link these observations to improved patient care. Materials and Methods: The study period began June 2022 to May 2023, conducted at the Department of Radiodiagnosis, Dr. Patnam Mahender Reddy Institute of Medical Sciences, Chevella, Hyderabad, India. This prospective observational study took place in a hospital setting.  The sample size for this study was 200 patients. Primary data was obtained by the investigator from patients diagnosed with acute pancreatitis and admitted to the surgery or medicine wards at our hospital for CT scans.  Results: Patients in our study group tended to be male, and alcoholism was the leading cause of their condition. In addition, interstitial edematous pancreatitis and mild acute pancreatitis accounted for the vast majority of cases. They achieved favorable clinical outcomes with a BISAP score of less than 3. Acute necrotizing pancreatitis and interstitial edema were both classified as moderately severe. Necrotizing pancreatitis was the most common kind of the severe acute form. Clinical outcomes were unsatisfactory for the majority of these individuals. Grades in the moderately severe range lie between the mild and severe varieties. Clinical result was found to correlate positively with BISAP rating, and the updated Atlanta categorization. Conclusion: Acute pancreatitis imaging results can now be more uniformly described and recorded in clinical practice according to the new Atlanta classification system. Acute pancreatitis patients can now be more accurately triaged, predicted, and treated thanks to the integration of the new Atlanta classification and BISAP clinical grading.

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