HP35P THE NATURAL HISTORY OF GALL STONE VS ALCOHOL INDUCED-SEVERE PANCREATITIS IN WESTERN SYDNEY.

Gall stones (GS) and alcohol (EtOH), are the two commonest causes of pancreatitis, potentially leading to different outcomes. A retrospective review was undertaken of patients admitted with pancreatitis attributed to these two causes, hypothesising that GS pancreatitis carries a worse prognosis. Patients admitted to Westmead Hospital between 2000 to 2005, were audited using PiMS database, entering key words pancreatitis, and greater than 14 days stay. Data obtained from Westmead Hospital’s pathology database, CERNER, and medical records, were recorded regarding demographics, diagnosis, severity of pancreatitis, radiological indices, length of stay (including ICU/HDU), surgical interventions, complications and mortality. A Glasgow score ( 1 ) was assigned to each case. Initially of 57 cases reviewed, there was an equal incidence of pancreatitis between genders (28 M;29 F). There was a higher proportion of GS pancreatitis in females (75%), and a higher incidence of EtOH pancreatitis in males (n = 7) compared to females (n = 2). On average, GS pancreatitis scored a higher Glasgow score (2.28). Complications occurred more often in males and the GS pancreatitis population. The data from this pilot project suggested GS pancreatitis leads to a worse outcome compared to EtOH pancreatitis. Case note review has been ongoing and the combined data will be presented. The study provides a foundation for expanding this database to include other factors, such as ethnicity and weight, in comparing the outcome of GS and EtOH pancreatitis. As well a prospective study has been designed that may help predict the outcome of these two types of pancreatitis. [ABSTRACT FROM AUTHOR]