Contemporary management of acute pancreatitis

Abstract

1. Patients with severe BP should be monitored and treated in intensive care units. 2. Patients with severe BP will undergo USG and CT to detect any local complications. 3. Enteral feeding will be introduced early in the conduit. 4. The role of antibiotics for laxity remains controversial, but there is a general opinion that antibiotics are beneficial in severe pathology; they must be broad-spectrum and administered only for a relatively short period of time.5. Patients with biliary BP must undergo cholecystectomy, the time being chosen based on the severity of the disease. CPGRE is indicated only in patients with cholangitis or biliary obstruction. 6. Infected pancreatic necrosis must be treated by surgical debridement, but sterile-conservative necrosis, unless it is progressive alteration, caused by sepsis or organ failure syndrome.