Acute management of pancreatitis: the key to best outcomes

2019/05/23 by Erik Olson, Erik J. Olson, Alexander Perelman +2 · 33 citations
Medicine · #Abdominal pain #Acute pancreatitis #Gastrointestinal disorders and treatments #Intensive care medicine #Internal medicine #Medicine #Pancreatic and Hepatic Oncology Research #Pancreatitis #Pancreatitis Pathology and Treatment #Presentation (obstetrics) #Risk stratification #Surgery

paper · doi:10.1136/postgradmedj-2018-136034

published in Postgraduate Medical Journal 95(1124), 328-333 (Oxford University Press)

openalex publication_date 2019/05/23 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/23

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.

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