Diagnosis and Management of Acute Pancreatitis.
Gastroenterology
; 167(4): 673-688, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-38759844
ABSTRACT
Acute pancreatitis (AP) is increasing in incidence across the world, and in all age groups. Major changes in management have occurred in the last decade. Avoiding total parenteral nutrition and prophylactic antibiotics, avoiding overly aggressive fluid resuscitation, initiating early feeding, avoiding endoscopic retrograde cholangiopancreatography in the absence of concomitant cholangitis, same-admission cholecystectomy, and minimally invasive approaches to infected necrosis should now be standard of care. Increasing recognition of the risk of recurrence of AP, and progression to chronic pancreatitis, along with the unexpectedly high risk of diabetes and exocrine insufficiency after AP is the subject of large ongoing studies. In this review, we provide an update on important changes in management for this increasingly common disease.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Pancreatitis
Limits:
Humans
Language:
En
Journal:
Gastroenterology
Year:
2024
Type:
Article