A study on management in recurrent acute pancreatitis at a tertiary care hospital

Abstract

Treatment of patients with RAP is aimed at the specific aetiology. In general, cholecystectomy is carried out in cases of microlithiasis along with clearance of common bile duct. Endoscopic sphincterotomy is advised if there is strong suspicion of SOD. Minor papilla sphincterotomy should be carried out in those with PD but with limited expectations. The study was conducted at Peerless Hospital & B.K. Roy Research Centre, Kolkata, a 300 bedded multi-speciality tertiary care Hospital. It was a prospective, observational study conducted during October 2014-August 2016. All patients with two or more distinct attacks of AP willing to give written informed consent irrespective of their age group without any evidence of CP were included in the study. In the present study EUS was performed on total 70 patients and found 11 to have CP out of 80 patients which was not detected by routine investigations. EUS and MRCP combined, diagnosed 14 patients to have GB & CBD Microliths/Sludge. EUS diagnosed more number of cases as compared to MRCP.