ICJIM

The Intercontinental Journal of Internal Medicine aims to publish issues related to all fields of internal medicine of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
The analysis of patients with diagnose of acute pancreatitis: a retrospective sıngle center study
Aims: Acute pancreatitis is an inflammatory disease of the pancreas and may be limited to the pancreas or may affect many organs and result in death. Different theories have been proposed in its pathogenesis. The aim of this study was to discuss the demographic characteristics, etiological causes and clinical features of patients with acute pancreatitis, whose frequency is not known in our country but which we see frequently in our daily practice.
Methods: The files of patients admitted to the gastroenterology clinic between May 2005 and May 2014 and diagnosed with acute pancreatitis were retrospectively reviewed. Age, gender, mode of presentation, cause of acute pancreatitis, clinical features and prognosis were analysed.
Results: A total of 630 patients were retrospectively analysed. Of the 630 patients diagnosed with acute pancreatitis, 289 (45.9%) were male and 341 (54.1%) were female. The mean age was 55.58±17.4 years. The most common etiological cause was biliary causes in 420 (66.7%) patients. The most common reason for presentation was abdominal pain and nausea and vomiting in 415 (65.9%) patients. The most common presentation (28%) was in the spring season. 614 (97.4%) patients were discharged with recovery and 16 (2.6%) patients died. It was found that 3 methods (Ranson, APACHE, Atlanta) used in prognosis determination gave similar results.
Conclusion: Acute pancreatitis, which can be a mortal disease, has different etiological factors and the most common etiological factor is biliary origin. Abdominal ultrasonography is a valuable method in the detection of biliary pathologies. The most common presentation is abdominal pain accompanied by nausea and vomiting. It was observed that different scoring systems did not differ from each other.


1. Mikó A, Vigh É, Mátrai P, et al. Computed Tomography Severity Index vs. other indices in the prediction of severity and mortality in acute pancreatitis: a predictive accuracy meta-analysis. Front Physiol. 2019;10:1002. doi:10.3389/fphys.2019.01002
2. Garg SK, Sarvepalli S, Campbell JP, et al. Incidence, admission rates, and predictors, and economic burden of adult emergency visits for acute pancreatitis: data from the National Emergency Department sample, 2006 to 2012. J Clin Gastroenterol. 2019;53(3):220-225. doi:10.1097/MCG.0000000000001030
3. Mennecier D, Pons F, Arvers P, et al. Incidence and severity of non alcoholic and non biliary pancreatitis in a gastroenterology department. Gastroenterol Clin Biol. 2007;31(8-9 Pt 1):664-667. doi:10.1016/s0399-8320(07)91914-4
4. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2012;62(1):102-111. doi:10.1136/gutjnl-2012-302779
5. Altıntoprak F. Complications of the acute pancreatitis. J Gen Surg-Special Topics. 2011;4(1):48-55.
6. Bilgili MA, Dertli R, Kafee AA, Kilic G, Kayar Y. Is there a correlation between the initial calcium level and Balthazar classification in patients with acute pancreatitis? Is there a correlation between the initial calcium level and Balthazar classification in patients with acute pancreatitis? Ulus Trauma Emergency Surg. 2022;28(6):769-775. doi:10.14744/tjtes.2021.03464
7. Duru H. Utility of Ranson score, Computed Tomography Severity Index, and CRP criteria in risk stratification on the day of hospital admission in patients with acute pancreatitis: a cross-sectional analysis. Use of Ranson score, Computed Tomography Severity Index, and CRP criteria in risk stratification on the day of hospital admission in patients with acute pancreatitis: a cross-sectional study. Ulus Trauma Emergency Surg. 2023;29(3):350-357. doi:10.14744/tjtes.2022.33332
8. Gırgın S, Kolakan MS, Keleş C. Our Experience in acute pancreatitis: analysis of 401 cases. Turk HPB. 2009;5(2-3):60-64.
9. Kayaoglu SA, Uzun M. Comparison of Bedside Acute Pancreatitis Severity Index score with apache II score in predicting the severity of acute pancreatitis. KSU Med J. 2016;2:143-148. doi:10.17517/ksutfd.813958
10. Kaya Y, Düğeroğlu H, Çınar H. The relationship between the severity of acute pancreatitis and platelet lymphocyte ratio. FÜ Sag Bil Med Derg. 2017;31:137-41.
11. Koizumi M, Takada T, Kawarada Y, et al. JPN Guidelines for the management of acute pancreatitis: diagnostic criteria for acute pancreatitis. J Hepatobiliary Pancreat Surg. 2006;13(1):25-32. doi:10.1007/s00534-005-1048-2
12. Gaby AR. Nutritional approaches to prevention and treatment of gallstones. Altern Med Rev. 2009;14(3):258-267.
13. Villatoro E, Mulla M, Larvin M. Antibiotic therapy for prophylaxis against infection of pancreatic necrosis in acute pancreatitis. Cochrane Database Syst Rev. 2010;2010(5):CD002941. doi:10.1002/14651858.CD002941.pub3
14. Carroll JK, Herrick B, Gipson T, LEE SP. Acute pancreatitis: diagnosis, prognosis and treatment. Am Fam Physician. 2007;75(10):1513-1520. </ol> <p>
Volume 3, Issue 3, 2025
Page : 58-63
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