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8.Frequency of Pseudocyst Formation in Patients with Acute Pancreatitis
Fatima Jamil, Syeda Anam Noor Kazmi, Rabia Sundus and Mehreen Toufiq
ABSTRACT
Objective: To define the incidence of pseudocyst in the patients with acute pancreatitis and to reveal the factors that could potentially affect its formation.
Study Design: Cross Sectional Study.
Place and Duration of Study: This study was conducted at the Department of Gastroenterology, Ayub Teaching Hospital /University, Abbottabad from 15th January 2021 to 15th July 2021.
Methods: The study sample included 113 patients with the diagnosis of acute pancreatitis. Patients’ demographic information, clinical history, and development of pseudocyst were recorded and statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 22. Abdominal ultrasound scans were carried out by a consultant gastroenterologist with a view of looking for pseudocyst formation.
Results: The patient’s mean age was 39. 6 ± 6. 7 years and the study population comprised 113 patients. The majority of the cohort was male at 83. 2%. The development of pseudocyst was noted to have occurred in 15% of the patients. Comparing the stratification of the patients, pseudocyst formation was observed to occur more frequently in patients with the duration of the symptoms for more than 7 days, 32. 7%, compared with 1. 6% of the patients with a shorter duration of the symptoms. BMI was also considered as a predictor variable, those patients with BMI greater than 25 kg/m² developed higher pseudocyst formation.
Conclusion: Data have shown that pseudocyst develops in about 10-30% of patients with acute pancreatitis, with higher incidence in patients with severe disease and longer duration of symptoms and higher BMI. It is important to identify and manage such patients early in order to prevent complications and enhance the patients’ prognosis.
Key Words: Acute pancreatitis, pseudocyst, frequency, complications