489 Imaging of Acute Pancreatitis in a UK District General Hospital

Abstract Aim Imaging should not be routinely used in the diagnosis of Acute Pancreatitis unless there is: diagnostic uncertainty; failure to responding conservative management; severity confirmation needed. It is suggested that optimal timing for CT assessment at least 72 hours after onset symptoms. We aimed benchmark our unit and assess imaging compare this against standards set up by Royal College Radiologists (RCR). Method Patients with a proven pancreatitis were included data retrospectively collated analysed over 5-month period 2021. Results 30 consecutive patients confirmed (57% male, 43% female; mean age: 53 years). 50% had scans (72 symptoms), 67% deemed appropriate (diagnostic uncertainty, assessing severity). 40% reports did comment on all 3 prognostic factors (presence pancreatic necrosis; free intraperitoneal fluid; extensive peripancreatic fat stranding). Only 27% an ultrasound gallbladder within 24 diagnosis. Conclusion The findings snapshot study line existing literature. Our does meet targets out RCR (95%). There remains need standardise approach we aim aid disseminating relevant departments increasing knowledge amongst clinicians. Re-audit planned coming months.