Assessment of Patients Monitored for Non-Biliary Acute Pancreatitis in Terms of Etiology, Prognosis, and Mortality

Abstract

INTRODUCTION: We planned to investigate the etiologic causes, prognosis, and mortality rates for cases diagnosed with non-biliary acute pancreatitis (AP) monitored by the internal medicine clinic. METHODS: The study included 73 patients monitored by the clinic from January 2016 to June 2021. Patients included in the assessment were investigated for age-sex, presence of chronic disease, local, and systemic complications developing linked to AP, admission to intensive care, incidence of mortality, and clinical follow-up duration. RESULTS: The most frequent etiological cause was idiopathic (40%), followed by hyperlipidemia (24%) and alcohol (6%). Advanced age (65 years and older) was significantly high among patients with high Ranson score (p=0.001; p<0.01). There was no correlation between sex and etiologic cause with prognosis (p>0.05). There was a significant correlation between presence of comorbid disease and high Ranson score (p=0.045; p<0.05). Among cases, 56% were observed to have recurrent AP (RAP) admissions. DISCUSSION AND CONCLUSION: While advanced age and presence of comorbid disease significantly contribute to the severity of AP, our study did not show an effect of etiologic factors on prognosis. RAP was observed in 56% of cases.

Keywords

• etiology
• mortality
• non-biliary acute pancreatitis
• prognosis.