eP294 A Retrospective Audit: Evaluating the Management of Acute Pancreatitis at the Surgical Emergency Unit of a Tertiary Centre

Aims To evaluate severity scoring, underlying causes, and management pathways in patients presenting to the Surgical Emergency Unit at a tertiary centre with acute pancreatitis. Methods Retrospective analysis of patient records over two months (September–October 2024). Data collected included demographics, aetiology, severity scoring, management and outcomes. Key metrics were admission duration, rate of operative interventions, time to surgery [TTS], and complications. Results Eighty-one patients were analysed. Formal scoring using the Glasgow-Imrie system was completed in 9 patients, with a median of 2 [range: 0-3]. Gallstones [33 cases] and alcohol excess [18 cases] were the primary aetiologies. Seventy patients were admitted, with an average length of stay of 5.73 days. Three patients developed serious complications requiring ITU admission [admission NEWS Score: 3-10], with one patient suffering cardiac arrest and multi-system organ failure, resulting in death on the day of admission. Six patients were managed via an ambulatory pathway for further investigation [MRCP/US/EUS] which confirmed 4 cases of gallstone pancreatitis. Twenty-one patients with gallstone pancreatitis underwent laparoscopic cholecystectomy; 14 during index admission [TTS: 6.5 days, range: 1–18 days], with average length of stay as 8.5 days. One case was following ambulatory investigation [TTS: 31 days]. Five cases were discharged for elective day-case surgery [TTS: 9-11 days]. Conclusion Severity scoring was underutilised, limiting risk stratification and care planning. Management pathways, including timely surgical intervention within 6 weeks and ambulatory care were effective, with most patients discharged without complications. Serious cases were escalated appropriately, reflecting robust acute care management.