A comparative study between ranson Criteria and modified computed tomography Severity index to determine accuracy in Predicting prognosis in a patient diagnosed With acute pancreatitis, a cross sectional Study

Abstract

Background- An acute attack of pancreatitis is a condition characterised by inflammation of the organ itself. The most characteristic symptom is sudden stomach discomfort, and the diagnosis is confirmed by elevated levels of blood amylase and lipase. (1) Acute Pancreatitis can be classified as Mild and Severe disease (3). Inappropriate pancreatic enzyme release and activation cause acute pancreatitis by causing tissue destruction and an inflammatory response. The majority of individuals with necrotizing pancreatitis cannot be identified accurately by any of the specific clinical or laboratory indicators despite their widespread use in clinical practise. In an attempt to overcome these obstacles, many scoring systems have been devised, each of which incorporates clinical and laboratory criteria into its determination of whether a patient has severe pancreatitis. Acute pancreatitis severity is measured according to the prevalence of certain abnormalities that serve as prognostic signals, severe symptoms, risk factors, or objective indicators. (8) AIMS AND OBJECTIVES To-compare Ransons scoring system and Modified CT severity-index-scoring and assess which of the two scores is more accurate in predicting prognosis in a patient with acute pancreatitis.