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. 2015 Sep;10(3):257-263.

Management of Acute Pancreatitis in the Early Stage

Narcis Octavian Zarnescu  1 , Sorin Traian Barbu  2 , Eugenia Claudia Zarnescu Vasiliu  1 , Radu Costea  1 , Stefan Neagu  1
Affiliations

Management of Acute Pancreatitis in the Early Stage

Narcis Octavian Zarnescu et al. Maedica (Bucur). 2015 Sep.

Abstract

Acute pancreatitis (AP) is a potential fatal disease with an overall mortality around 5%. The current treatment for AP relies on supportive medical therapy, sometimes associated with endoscopic procedures and/or surgical interventions. In this review we discuss the recent concepts regarding the fluid therapy, pain management, antibiotic prophylaxis, apheresis for hypertriglyceridemia-induced AP, timing and indications for ERCP and cholecystectomy in biliary AP. For each component, the importance and the impact of early phase treatment is presented in terms of benefits and risks.

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Figures

Table 1
Table 1
Table 1. Summary of RCT assessing the results of ERCP in acute pancreatitis. *patients with cholestasis; ** patients without cholestasis
Figure 1
Figure 1
Figure 1. Management of acute gallstone pancreatitis.
See this image and copyright information in PMC

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