Acute management of pancreatitis: the key to best outcomes.

Erik Olson, Alexander Perelman, John W Birk

Journal: Postgraduate medical journal 2020;95(1124):328-333

PMID: 31123175

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Abstract

Acute pancreatitis (AP) accounts for over 230 000 US and 28 000 UK hospital admissions annually. Abdominal pain is the most common presenting symptom in AP but may not reflect severity. The clinical challenge is identifying the 20% of patients in whom AP will be severe. We summarise the common aetiologies, the risk stratification strategies including the simplified Bedside Index for Severity in Acute Pancreatitis, acute management approaches in the initial presentation setting, conditions for using advance imaging and opinions on antibiotic use. Some warning signs of impending complications are also discussed.

Address: Department of Gastroenterology and Hepatology, Rochester General Hospital, Rochester, New York, USA.; Gastroenterology, UConn Health, Farmington, Connecticut, USA [email protected].; Gastroenterology-Hepatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

DOI: 10.1136/postgradmedj-2018-136034

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MeSH Terms: Abdominal Pain, Acute Disease, Amylases, Cholangiopancreatography, Endoscopic Retrograde, Enteral Nutrition, Fluid Therapy, Gallstones, Humans, Lipase, Pancreatitis, Pancreatitis, Alcoholic, Severity of Illness Index