Acute pancreatitis: Contemporary diagnosis and management

Ryan C. Van Woerkom, Douglas G. Adler

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

• Objective: To review the diagnosis and management of patients with acute pancreatitis. • Methods: Literature review. • Results: Commonly encountered pancreatitis etiologies include alcoholic, biliary, idiopathic, hereditary, hypertriglyceridemia, hypercalcemia, and drug-induced. Imaging is not typically indicated unless the diagnosis is ambiguous or clinical judgement suggests a severe course, with the type of imaging dependent upon suspicion of underlying etiology. Management mainstays include bowel rest, pain/nausea relief, correcting underlying cause, and fluid resuscitation. Nutrition management and surgery may be required in selected severe cases. • Conclusion: Acute pancreatitis is a final common pathway by which various heterogeneous etiologies enter for this not uncommonly encountered pathology. Current trends in acute pancreatitis clinical research focuses on further refining questions regarding the biomarkers/scoring systems for prognostication, type and amount of fluid required for resuscitation, and further delineating the circumstance under which each imaging modality should be utilized.

Original languageEnglish (US)
Pages (from-to)13-26
Number of pages14
JournalJournal of Clinical Outcomes Management
Volume19
Issue number1
StatePublished - Jan 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy

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