Acute pancreatitis: recommendations from the World Congress of Emergency Surgery

A 48 year old lady presents with a twelve hour history of epigastric pain radiating through to the back and copious non-bilious vomiting. She has no medical history of note but her amylase comes back as 1400. This is acute pancreatitis, of course. You pick up the phone to arrange a surgical review, but some uncertainties swirl around your head as you do so: which scoring system should you use? What will happen next for the patient? Does she need antibiotics? Should she be nil by mouth?

 

Leppaniemi A, Tolonen M, Tarasconi A et al. 2019 WSES guidelines for the management of severe acute pancreatitis. World J Emerg Surg. 2019 Jun;14:27

 

 

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