• Gastroenterol. Clin. North Am. · Mar 2016

    Review

    Advances in Management of Acute Pancreatitis.

    • Nigeen H Janisch and Timothy B Gardner.
    • Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
    • Gastroenterol. Clin. North Am. 2016 Mar 1; 45 (1): 1-8.

    AbstractThis article reviews advances in the management of acute pancreatitis. Medical treatment has been primarily supportive for this diagnosis, and despite extensive research efforts, there are no pharmacologic therapies that improve prognosis. The current mainstay of management, notwithstanding the ongoing debate regarding the volume, fluid type, and rate of administration, is aggressive intravenous fluid resuscitation. Although antibiotics were used consistently for prophylaxis in severe acute pancreatitis to prevent infection, they are no longer used unless infection is documented. Enteral nutrition, especially in patients with severe acute pancreatitis, is considered a cornerstone in management of this disease. Copyright © 2016 Elsevier Inc. All rights reserved.

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