Sarcouncil Journal of Medicine and Surgery

Abstract: Background: Acute pancreatitis is a common and challenging disease that can develop both local and systemic complications, It ranges from a mild self-limiting inflammation of the pancreas to critical disease, the incidence of acute pancreatitis has increased during the past 20 years. Glasgow scale: is scoring system to predict the severity of acute pancreatitis, its consider a severe when the score was three or more. Aim: to determine the diagnosis, causes, classification, management of acute pancreatitis and its outcome. Patients and methods: This is a Prospective descriptive case series Study conducted in medical city / Baghdad teaching hospital for the period from the 1st of January 2015 to the 1st of January 2018, 133 patients with acute pancreatitis were admitted to the surgical wards. Result: one hundred thirty-three patients included with acute pancreatitis, 84 male and 49 female with male to female ratio 1.7:1, Regarding the etiology of acute pancreatitis in our patients was the most common cause is gall stone 51.87%, alcohol was 24.27%, idiopathic was 18.03%, post ERCP and drugs abused ( 2 patients by codeine and 1 by Atorvastatin) were 2.25%, post trauma was 1.5% and hyperlipidemia was 0.75% . Conservative management is effective in mild and most severe cases , surgical management is used in 25 patients with severe acute pancreatitis. Conclusion: severe acute pancreatitis was lethal condition which mean early diagnosis and differentiate from other pathology and urgent proper management.