ASSESSMENT OF EXTRA PANCREATIC MANIFESTATIONS OF ACUTE, SUBACUTE AND CHRONIC CALCIFIC PANCREATITIS

Introduction: Pancreatitis accounts for 6-10 per cent of all cases of abdominal pain among patients admitted to hospitals in India. Pancreatitis may sometimes involve multiple organ systems and place demands on the surgeon beyond his or her skills. Patients with systemic complications should be managed by a multidisciplinary team that includes intensive care specialists. It is important to determine the presence and degree of association of these intra-abdominal conditions with acute/subacute/chronic calcic pancreatitis. Aim &objective: To analyze the various systemic manifestations of pancreatitis, including both gastrointestinal and extra-intestinal features. Methods And Materials: It is a prospective and retrospective observational clinical study in patients who are more than 18 years of age, have typical symptoms like epigastric pain, nausea, vomiting with serum amylase and/or lipase levels elevated 3-4 times above normal and proven imaging diagnosis of acute/subacute/chronic calcic pancreatitis. Contrast Enhanced Computed Tomography (CECT) imaging protocols for abdomen and pelvis with GE 16 Signa Channel were followed. P Results:- atients with pancreatitis can have a wide range of other features like ascites, pleural effusion, liver features like fatty hepatomegaly , portal hypertension, chronic liver parenchymal changes, hepatic infarct, gall bladder or biliary tract pathologies like calculous or acalculous cholecystitis, choledocholithiasis, cholangitis, renal changes like pyelonephritis, calculi, cysts, vascular changes like splenic/superior mesenteric/portal vein thrombosis, splenic pathologies like splenomegaly, splenic infarct, lung involvement etc. Pancreatitis is one of the leading causes of abdominal pain as well as hospital ad Conclusion: mission due to gastrointestinal disease and thus amounts to a signicant health burden. It can have widespread systemic (both visceral and vascular) associations. These extra-pancreatic features may have important implications for the treating surgeon as they may be able to anticipate the possibility and frequency of these associated manifestations and treat with a more wholesome approach, thus reducing signicant morbidity and mortality.