TPTh 9.11 Acute Pancreatitis in Surgical Admissions: A Closed- Loop Audit of Compliance Against the British Society of Gastroenterology Guidelines

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ID: 324031
2026
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Abstract
Abstract Aim To assess the compliance with the British Society of Gastroenterology guidelines for the diagnosis, aetiology assessment and risk stratification of Acute Pancreatitis in a District General Hospital. Methods Data was collected retrospectively for the 1st of August- 30th of September 2025. All adult patients admitted with acute pancreatitis by the general surgery team were included. Patients referred more than 48 hours post-admission were excluded. 29 patients were included in the first cycle. The first cycle was presented at the local audit meeting, and an action plan was implemented to improve compliance with the guidelines. After implementation of change we re-audited from the 14th of November- 31st of December 2025. 20 patients were included in the second cycle. Results 97% of cases were correctly diagnosed within 48 hours in the first cycle, improving to 100% in the second cycle. Compliance with risk stratification in 48 hours improved from 38% to 65%. Aetiology assessment improved from 62% to 100% with 5% of cases deemed as idiopathic. Conclusions In the first cycle, compliance with diagnosis in accordance with the Atlanta criteria was high however, risk stratification and aetiology assessment did not meet the BSG Standard. After introduction of measures such as presenting the results, MDT posters and teaching sessions we noted a significant improvement in all three parameters. Compliance with diagnosis and aetiology assessment now meet the Standard. There was substantial improvement in risk stratification within 48 hours. We will continue working with the general surgery department to further improve our compliance.
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Authors Ludmila J Branda, Shreya D’Silva, Wysnavie Tarmier, Carmaline de Silva, Mayank Bhandari
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.526
URL
Keywords Keywords not found

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