• N Teich, S Leinung, S Jonas, and J Mössner.
• Internistische Gemeinschaftspraxis für Verdauungs- und Stoffwechselerkrankungen, Funkenburgstrasse 19, Leipzig, Germany. teich@igvs.de
• Chirurg. 2009 Mar 1;80(3):245-52; quiz 253-4.

AbstractAcute pancreatitis is potentially fatal. It can be diagnosed based on present history, clinical appearance, and typical findings from laboratory and radiologic investigations. All patients must be admitted to hospital, as the disease course cannot be predicted at initial presentation. Increasing severity demands increasingly individualized therapy. The most important interventions are fast fluid resuscitation and analgesic therapy with opioids. Therapeutic agents specific to pancreatitis have failed to show any advantages so far. The roles of antibiotic therapy and nutritional support in the therapeutic regimen have been profoundly reassessed during recent years. Surgery and endoscopic interventions may be necessary and beneficial in carefully selected patients. In this review we summarize clinically relevant issues of acute pancreatitis.

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