Early management of severe acute pancreatitis

Rupjyoti Talukdar, Santhi Swaroop Vege

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Significant literature on the management of acute severe acute pancreatitis has emerged in recent years. The new information ranges from data on newer single or multiparameter severity assessment tools and classification systems to therapeutic modalities. However, a few basic issues - the ideal severity assessment modality, volume of intravenous fluids required in the first 48 to 72 h, and the role of prophylactic antibiotics - are still not clear and are subject to controversy. The International Working Group has devised the Revised Atlanta Classification, which will be published soon. This new classification is eagerly awaited worldwide, and hopefully clarifies many of the problems of the original Atlanta Classification. In this article, we discuss the developments that have arisen in the past 2 to 3 years concerning the classification, prognostication, and early management of severe acute pancreatitis.

Original languageEnglish (US)
Pages (from-to)123-130
Number of pages8
JournalCurrent gastroenterology reports
Volume13
Issue number2
DOIs
StatePublished - Apr 2011

Keywords

  • Bedside assessment for severity in acute pancreatitis
  • Critical pancreatitis
  • Early management
  • Early severe acute pancreatitis
  • Fluid management
  • Infected pancreatic necrosis
  • Moderately severe acute pancreatitis
  • Persistent organ failure
  • Prophylactic antibiotics
  • Severe acute pancreatitis
  • Severity assessment
  • Systemic inflammatory response syndrome

ASJC Scopus subject areas

  • Gastroenterology

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