Uncomplicated Acute Pancreatitis: Evidenced-Based Management Decisions

Venkata S Akshintala; Ayesha Kamal; Vikesh K Singh

doi:10.1016/j.giec.2018.05.008

Uncomplicated Acute Pancreatitis: Evidenced-Based Management Decisions

Gastrointest Endosc Clin N Am. 2018 Oct;28(4):425-438. doi: 10.1016/j.giec.2018.05.008. Epub 2018 Jul 17.

Authors

Venkata S Akshintala¹, Ayesha Kamal², Vikesh K Singh³

Affiliations

¹ Division of Gastroenterology, Johns Hopkins Medical Institutions, 1830 East Monument Street, Room 436, Baltimore, MD 21205, USA. Electronic address: vakshin1@jhmi.edu.
² Division of Gastroenterology, Johns Hopkins Medical Institutions, 600 North Wolfe Street, Baltimore, MD 21205, USA.
³ Division of Gastroenterology, Johns Hopkins Medical Institutions, 1830 East Monument Street, Room 428, Baltimore, MD 21205, USA.

PMID: 30241636
DOI: 10.1016/j.giec.2018.05.008

Abstract

Acute pancreatitis is among the most common gastrointestinal disorders requiring hospitalization worldwide. Establishing the cause of acute pancreatitis ensures appropriate management and proper health care resource utilization. Causes of acute pancreatitis include biliary, alcohol use, hypertriglyceridemia, hypercalcemia, drug-induced, autoimmune, hereditary/genetic, and anatomic abnormalities. Fluid therapy remains the cornerstone of managing acute pancreatitis. This article provides a brief summary of current evidence-based practices in the diagnosis and management of uncomplicated acute pancreatitis.

Keywords: Acute; Management; Pancreatitis; Severity.

Publication types

Review

MeSH terms

Acute Disease
Anti-Bacterial Agents / therapeutic use
Clinical Decision-Making
Eating
Evidence-Based Medicine
Fluid Therapy*
Humans
Nutritional Support
Pain Management
Pancreatitis / etiology*
Pancreatitis / therapy*
Risk Assessment
Severity of Illness Index

Substances

Anti-Bacterial Agents