DOI: 10.21276/aimdr.2017.3.6.SG7 Original Article ISSN (O):2395-2822; ISSN (P):2395-2814 Annals of International Medical and Dental Research, Vol (3), Issue (6) Page 44 Section: Surgery Assessment of Severity of Acute Pancreatitis Using Ranson's Scoring System and Modified CT Severity Index. Satish Parihar 1 , Yogesh Kumar 2 , Mubashar Akram 3 1 Assistant Professor, Department of surgery, Government medical college, Jammu 2 Post Graduate, Department of surgery, Government Medical College Jammu. 3 Senior Resident, Department of Surgery Government college of Jammu Received: September 2017 Accepted: September 2017 Copyright: © the author(s), publisher. Annals of International Medical and Dental Research (AIMDR) is an Official Publication of “Society for Health Care & Research Development”. It is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non- commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Acute pancreatitis is an acute abdominal emergency that need protracted hospital stay and intensive care. In 80% of cases it runs a mild course and rest of the patients have severe pancreatitis. It's severity is assessed by using Ranson's scoring system and Modified CT severity index. Aim:- 1. To evaluate role of Ranson's scoring system and modified CT severity index in assessing severity of acute pancreatitis. 2. To correlate above scoring systems with outcome. Design and Place:- This is a prospective observational study which is conducted on patients with acute pancreatitis admitted in PG Department of Surgery, GMC, Jammu w.e.f. 1st November 2016 to 30th April 2017. Methods: 50 patients of acute pancreatitis enrolled. Ranson's criteria and modified CT severity index apply to all of them. Ranson's and modified CT severity index calculated and complications and outcome related to both scoring systems noted. Results: Out of 50 patients, 34(68%) patients have mild pancreatitis. 6(12%) patients have moderate pancreatitis. 10(20%) patients have severe pancreatitis. Conclusion: We conclude that Ranson's criteria and modified CT severity index have significant role in predicting the severity of acute pancreatitis and the chances of developing complications as regards morbidity and mortality. Keywords: Ranson's scoring system, Modified CT severity index INTRODUCTION Acute pancreatitis is a common abdominal catastrophe. It is a disease with morphological and clinical manifestations of varying severity ranging from mild interstitial pancreatitis to potentially fatal necrotizing pancreatitis. In nearly 80% of the patients it runs a mild course with minimum morbidity and mortality less than 2%. These patients can be sent home after 7 to 10 days of conservative management. In rest of the patients disease runs a severe course and mortality is directly proportional to development of complications either local or systemic. Conservative treatment does result in recovery but certain patients develop devastating illness leading to multiorgan failure. These patients need protracted hospital stay and intensive care and few patients require surgery to deal with consequences of pancreatic necrosis. Assessment of severity is a key determinant in management of patients. Ranson's criteria and modified CT severity index specifically designed for Name & Address of Corresponding Author Dr. Yogesh Kumar Post Graduate, Department of surgery, Government Medical College, Jammu. acute pancreatitis. Both used for predicting the prognosis and to identify severely ill patients. MATERIALS AND METHODS This study is a prospective observational study and conducted in PG Department of Surgery GMC, Jammu. All patients admitted in surgical department with history of pain upper abdomen and suspected to have acute pancreatitis due to surgical cause. Clinically will be further evaluated to confirm or rule out acute pancreatitis. The diagnosis of acute pancreatitis will be based on following criteria: Inclusion Criteria All patients suspected to be having acute pancreatitis on the basis of: 1. Clinical grounds. 2. Biochemical parameters. 3. Ultrasonographic imaging. Exclusion Criteria 1. Patients with chronic pancreatitis suggested by intraductal calculi, ductal stricture and parenchymal calcification. 2. Other causes of increased amylase level.