IDDF2019-ABS-0180 Ascites in acute pancreatitis: not a silent bystander

Background Ascites in patients of acute pancreatitis (AP) is understudied although recent literature hints at its evident role on the final outcome. This study was planned to study the characteristics of ascites in patients of AP and its effect on the disease course and outcome. Methods Consecutive patients of AP were included and patients with or without ascites were evaluated for the baseline parameters and severity assessment. Ascites was quantified and fluid analyzed for its characteristics. Intraabdominal pressure (IAP) was monitored. The various outcome parameters were compared between the two groups of patients with and without ascites. Results Of the cohort of 213 patients, 82 (38.5%) developed ascites. Ascites group had significantly higher rates of organ failure (p=0.001), necrosis (p= 1000U/L) and low ( Conclusions AP patients with ascites have a more severe disease course with a poorer outcome as compared to those who do not have ascites. A higher degree of ascites and IAH grades are significant predictors of mortality.