Challenges of Management of Acute Pancreatitis in a Tertiary Medical Center of Bangladesh

Managing Acute Pancreatitis in a Tertiary Center in Bangladesh

Authors

  • Md Shakhawat Hossain Dept. of Gastroenterology Rangpur Medical College Hospital, Rangpur
  • Jimma Hossain Dept. of Gastroenterology Rangpur Medical College Hospital Rangpur, Rangpur
  • Maknunnahar PhD Fellow, Bangladesh Open University Dhaka, Bangladesh
  • Md Naushad Ali Dept. of Gastroenterology Rangpur Medical College Hospital Rangpur, Rangpur
  • Md Makshudul Alam Dept. of Gastroenterology Rangpur Medical College Hospital, Rangpur

DOI:

https://doi.org/10.3329/bmrcb.v50i2.74977

Keywords:

Acute pancreatitis, Challenges of management, Guideline-based treatment

Abstract

Background:  Acute pancreatitis is the most common and dangerous medical emergency in the practice of gastroenterology. Severity of presentation and uncertain prognosis make it as a threatening disease. There is limited information on how well physicians comply with standard guidelines, but compliance is suboptimal in developed countries, according to several studies

Materials and Methods: In this cross sectional study total 384 patients fulfilling American College of Gastroenterology (ACG) criteria for diagnosis of acute pancreatitis were admitted in department of gastroenterology. We divided all cases into mild, moderately severe and severe acute pancreatitis by Revised Atlanta criteria 2012.

Result: In this study our main concern was to identify the challenges of management in acute pancreatitis. The most common challenges we faced was delayed admission (59.11%)). Others were delayed hospital diagnosis by physicians (42.97%) non-adherence of patient party regarding (29.95%), lack of investigations facility at hospital (53.13%) and only 8.07% faced no challenges during management. Only 13% patients got current guideline-based treatment of acute pancreatitis.

Conclusion: Obviously, this study is a milestone, as it is the first from Bangladesh that has evaluated the challenges of management of acute pancreatitis in average settings. More physicians training on current guidelines, standard referral system, judicious use of medications and multidisciplinary management can upgrade the current situation in management of acute pancreatitis.

Bangladesh Med Res Counc Bull 2024; 50: 89-95

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Published

2024-08-01

How to Cite

Hossain, M. S., Hossain, J., Maknunnahar, Ali, M. N., & Alam, M. M. (2024). Challenges of Management of Acute Pancreatitis in a Tertiary Medical Center of Bangladesh: Managing Acute Pancreatitis in a Tertiary Center in Bangladesh. Bangladesh Medical Research Council Bulletin, 50(2), 89–95. https://doi.org/10.3329/bmrcb.v50i2.74977

Issue

Vol. 50 No. 2 (2024)

Section

Research Papers

License

Copyright (c) 2024 Dr. Md. Shakhawat Hossain; Dr. Jimma Hossain, Dr. Maknunnahar , Dr. Md. Naushad Ali, Dr. Md. Makshudul Alam

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