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Manandhar S, Giri S, Poudel P, et al. Acute biliary pancreatitis: an experience in a tertiary level hospital of Nepal. Indian J Surg. 2012;75(6):449-53doi: 10.1007/s12262-012-0533-5.
Manandhar, S., Giri, S., Poudel, P., Bhandari, R. S., Lakhey, P. J., & Vaidya, P. (2013). Acute biliary pancreatitis: an experience in a tertiary level hospital of Nepal. The Indian journal of surgery, 75(6), 449-53. https://doi.org/10.1007/s12262-012-0533-5
Manandhar, Sujan, et al. "Acute biliary pancreatitis: an experience in a tertiary level hospital of Nepal." The Indian journal of surgery vol. 75,6 (2013): 449-53. doi: https://doi.org/10.1007/s12262-012-0533-5
Manandhar S, Giri S, Poudel P, Bhandari RS, Lakhey PJ, Vaidya P. Acute biliary pancreatitis: an experience in a tertiary level hospital of Nepal. Indian J Surg. 2013 Dec;75(6):449-53. doi: 10.1007/s12262-012-0533-5. Epub 2012 Jun 08. PMID: 24465101; PMCID: PMC3900759.
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Indian J Surg. 2013 Dec;75(6):449-53. doi: 10.1007/s12262-012-0533-5. Epub 2012 Jun 08.

Acute biliary pancreatitis: an experience in a tertiary level hospital of Nepal.

The Indian journal of surgery

Sujan Manandhar, Smith Giri, Prakash Poudel, Ramesh Singh Bhandari, Paleswan Joshi Lakhey, Pradeep Vaidya

Affiliations

  1. Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

PMID: 24465101 PMCID: PMC3900759 DOI: 10.1007/s12262-012-0533-5

Abstract

Acute Biliary Pancreatitis is one of the commonest forms of pancreatitis in Nepal. Controversies exist as to the most appropriate way of management of these cases. The present study was carried out to evaluate the management and outcome of Acute Biliary Pancreatitis cases in a tertiary level hospital of Nepal. A retrospective analysis of the patients managed with Acute Biliary Pancreatits was done. All patients admitted with the diagnosis of Acute Biliary Pancreatitis over a period of 2 years were included in the study. The variables measured were age, sex, clinical presentation, laboratory investigations, mode of treatment and outcome. A total of 45 cases had Acute Biliary Pancreatitis suggesting a prevalence of 28 %. The mean age was 45 ± 10 year. 39 patients (86.6 %) were treated with conservative management. 23 patients (54 %) had an uneventful recovery without any complications. 21 patients (46 %) developed some form of complications but recovered successfully. Mortality was seen in only one patient in the conservatively treated group. In a resource poor setting such as Nepal, definitive management is not always possible. Conservative management of Acute Biliary Pancreatitis has a favorable outcome in the majority of our patients with acceptable morbidity and mortality. Definitive management can be safely performed during index admission where possible.

Keywords: Acute pancreatitis; Biliary; Conservative management; Outcome

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