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DETERMINATION OF PREDICTING THE ACUTE CHOLECYSTITIS’S SEVERITY

Dr Muhammad Ilyas, Dr Rabia Babar, Dr. M. Zaheer Abbas

Objective: The inflammation of gall-bladder is known as AC (Acute Cholecystitis). There is classification of the severity of this disease as mild, moderate, severe in accordance with the TGs (Tokyo Guidelines). The aim of this research work is to determine the parameters of laboratory findings for the prediction of the seriousness or extremity of the acute Cholecystitis in our hospital. Methodology: We reviewed 90 patients suffering from acute cholecystitis retroactively. We treated these patients in the surgical department of Allama Iqbal Memorial Teaching Hospital Sialkot for a period of complete one year from June 2018 to May 2019. We divided all the patients into three groups depending upon the severity of the AC. Results: Baseline average values for count of WBC (White Blood Cell), BUN (Blood Urea Nitrogen), and INR (International Normalized Ratio) creatinine were very high in group of severe patients at a level of significance in comparison with the patients of mild group. The level of the white blood cell was high in the patients of moderate group as compared to the patients of mild group. There was no parameter of laboratory which differentiated the patients of severe group from the patients of the moderate group. Conclusion: Patients with AC with high levels of white blood cell, BUN, INR & creatinine at the time of admission should get referrals to the advanced health care centers for proper management of the complication. Keywords: Tokyo Guidelines, Acute Cholecystitis, Surgery, Abdomen, Prediction, Severity, Seriousness.

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