Slide Session : OS-GAS-20 ; Gastroenterology : Haps (Harmless Acute Pancreatitis Score) Predicting a Non Severe Evolution in Patients with Acute Pancrea-titis in North Mexico = Slide Session : OS-GAS-20 ; Gastroenterology : Haps (Harmless Acute Pancreatitis Score) Predicting a Non Severe Evolution in Patients with Acute Pancrea-titis in North Mexico

다국어 초록 (Multilingual Abstract)

Background: Prompt treatment of pancreatitis aims to identify using established scales, which patients will develop a complicated course and therefore, would benefit from a more aggressive treatment and closer monitoring. Objective: To assess the reproducibility of the HAPS score (normal creatinine and hemoglobin without presence of peritoneal irritation) in patients with acute pancreatitis and then compare the results of Ranson, APACHE II, CTSI and BISAP scales to determine their ability to predict non severe evolution. Methods: 62 patients with acute pancreatitis were evaluated. The most common etiology was biliary, with 36 cases (22 females [F] and 14 men [M]), followed by alcoholic with 12 cases (0F:12M), lipidic 10 cases (2F:8M) and idiopathic cases with 4 (4F:0M) and biochemical measurements were made to calculate the prognostic scales Ranson, APACHE II and BISAP (at income, 24 and 48 hours). An abdominal CT scan was also made in order to complete the CTSI scale. Results: HAPS correlated with Ranson and APACHE II, the two most used scales to assess patients with acute pancreatitis. 14 (22.5%) patients met the 3 parameters of HAPS score for the prediction of a non-severe evolution, of which only 1 had severe evolution. For necrosis, scales with better sensitivity and specificity were BISAP HAPS, CTSI and Ranson. While to organic failure the scale with better sensitivity was BISAP and with better specificity were HAPS and Ranson. Conclusions: The HAPS scale is a suitable tool for initial assessment of Mexican patients with acute pancreatitis of any etiology because of its ability to predict a non-severe evolution.