A STUDY ON RESPIRATORY COMPLICATIONS AND ITS OUTCOME IN ACUTE PANCREATITIS

Authors

  • Abhijith Valsalan Junior Resident, Department of General Surgery, Jubilee Mission Medical College and Research Institute Thrissur
  • Alfie J Kavalakat Associate Professor of Surgery, Department of General Surgery, Jubilee Mission Medical College and Research Institute Thrissur
  • Gowri Gopal Medical Officer, Institute of Palliative Medicine, Kozhikode
  • John Thomas P Junior Resident, Department of General Surgery, Jubilee Mission Medical College and Research Institute Thrissur
  • Rashifa Vakiyath Junior Resident, Department of Pathology, Jubilee Mission Medical College Thrissur and Research Institute Thrissur
  • Suresh M V Jubilee Mission Medical College Thrissur and Research Institute Thrissur

DOI:

https://doi.org/10.32553/ijmsdr.v5i3.770

Abstract

Background: Respiratory complications are frequent in acute pancreatitis, and respiratory dysfunction, presenting as Acute lung injury (ALI) or Acute Respiratory Distress Syndrome (ARDS), is a major component of multiple organ dysfunction syndrome (MODS), with a frequent need for ventilator support, which contributes to early death in severe acute pancreatitis. The current study was done with the objective of assessing the morbidity and mortality of acute pancreatitis cases with respiratory complications and to find out whether there is any association between the aetiology of acute pancreatitis and respiratory complications.

Methodology: It was a prospective observational study conducted in a tertiary care centre in Kerala. All participants admitted with symptoms suggestive of acute pancreatitis were screened for potential enrolment. The inclusion criteria employed were that the patients should be aged above 18 years, and presenting with the first episode of pancreatitis, irrespective of aetiology. All the patients who were admitted were monitored daily for the worsening of any respiratory complications and provided with adequate respiratory supports.

Results: Out of the 101 participants recruited, males were 84.2%. Mean (SD) age was 42.1 (11.4) years. Majority of cases (61%) had alcoholic aetiology. Fourteen patients required high flow nasal oxygen support, four patients were given face mask support, five patients required ventilator support and three patients required tracheostomy support. Respiratory complications and requirement of support were found to be associated with higher morbidity as well as mortality. Respiratory complications were higher in those with alcoholic etiology but this was not significant in univariate analysis.

Conclusion: Respiratory complications pose challenges in clinical course of acute pancreatitis in terms of morbidity as well as mortality. Aetiology did not seem to play a major role in development of respiratory complications.

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Published

2021-04-04

How to Cite

Valsalan, A. ., Kavalakat, A. J. ., Gopal, G. ., P, J. T. ., Vakiyath, R. ., & M V, S. (2021). A STUDY ON RESPIRATORY COMPLICATIONS AND ITS OUTCOME IN ACUTE PANCREATITIS. International Journal of Medical Science And Diagnosis Research, 5(3). https://doi.org/10.32553/ijmsdr.v5i3.770

Issue

Vol. 5 No. 3 (2021)

Section

Articles

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