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Acute pancreatitis: current perspectives on diagnosis and management
Authors Shah AP, Mourad MM, Bramhall SR
Received 21 November 2017
Accepted for publication 24 January 2018
Published 9 March 2018 Volume 2018:11 Pages 77—85
DOI https://doi.org/10.2147/JIR.S135751
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Justinn Cochran
Peer reviewer comments 2
Editor who approved publication: Dr Ning Quan
Adarsh P Shah, Moustafa M Mourad, Simon R Bramhall
Department of Surgery, Hereford County Hospital, Hereford, UK
Abstract: The last two decades have seen the emergence of significant evidence that has altered certain aspects of the management of acute pancreatitis. While most cases of acute pancreatitis are mild, the challenge remains in managing the severe cases and the complications associated with acute pancreatitis. Gallstones are still the most common cause with epidemiological trends indicating a rising incidence. The surgical management of acute gallstone pancreatitis has evolved. In this article, we revisit and review the methods in diagnosing acute pancreatitis. We present the evidence for the supportive management of the condition, and then discuss the management of acute gallstone pancreatitis. Based on the evidence, our local institutional pathways, and clinical experience, we have produced an outline to guide clinicians in the management of acute gallstone pancreatitis.
Keywords: acute pancreatitis, severity scoring, diagnostic imaging, management of gallstone pancreatitis
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