Comparative Clinical Outcomes of Alcohol-Induced and Gallstone-Induced Acute Pancreatitis

Aim: To compare the clinical outcomes, disease severity patterns, and complications between alcohol-induced and gallstone-induced acute pancreatitis in a tertiary care center. Materials and Methods: This prospective observational comparative study was conducted over an 18-month period. A total of 152 consecutive patients diagnosed with acute pancreatitis were enrolled and categorized into two groups: alcohol-induced (n=101) and gallstone-induced (n=51) pancreatitis. Patients were evaluated for demographics, clinical presentation, severity assessment using Revised Marshall Score and BISAP criteria, and documented for outcomes including duration of nil per oral (NPO), length of hospital stay (LOS), organ failure, local complications (pancreatic necrosis, pseudocyst, acute necrotic collection), and mortality. Results: Alcohol-induced pancreatitis demonstrated higher prevalence (66.45%) with predominance in younger males (mean age 37.8±8.2 years, 97% male; p