Volume 24, Issue 101, January - February, 2020

Comparison of BISAP (Bedside Index for Severity of Acute Pancreatitis) versus BALTHAZAR CTSI (Computed Tomography Severity Index) scoring in predicting the severity in acute pancreatitis

Surya Subramanian¹, Mohanapriya Thyagarajan^2♦, Manuneethimaran Thiyagarajan³, Nitesh Navrathan⁴, Balaji Singh Krishna⁵

¹Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: suryasubbu13@gmail.com
²Associate Professor, Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: mohanapriyadr@gmail.com
³Associate Professor, Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: profmaran@gmail.com
⁴Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: niteshachha87@gmail.com
⁵Professor, Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: drbalajisingh@gmail.com

^♦Corresponding author
Associate Professor, Department of General Surgery, Sri Ramachandra Medical College, Chennai, Tamilnadu, India Email: mohanapriyadr@gmail.com

ABSTRACT

An often encountered surgical emergency is acute pancreatitis and poses a significant therapeutic challenge for the health care providers. It requires high clinical suspicion and careful monitoring to treat patients diagnosed with acute pancreatitis effectively. Bedside Index for Severity in Acute Pancreatitis (BISAP) is a s scoring system which is simple and has 5 variables that would precisely predict severity as early as within the first 24 hours of the course of acute pancreatitis. Balthazar et al., introduced a grading system, Computed tomography Severity Index(CTSI) for acute pancreatitis which included the entire estimation of the contour, density and size of pancreas, pancreatic necrosis, peripancreatic collection in computed tomography to assess the prognosis in acute pancreatitis. The present study uses the Bedside Index for Severity in Acute Pancreatitis scoring system for grading the severity of acute pancreatitis in patients within 24 hours of hospital admission compared to Computed tomography Severity Index taken 48 hours after onset of symptoms and categorizes the management plan accordingly.

Keywords: Acute Pancreatitis, Bedside index, Computed tomography, Blood urea Nitrogen, Scoring system

Medical Science, 2020, 24(101), 75-82

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