Back to Journals » Journal of Inflammation Research » Volume 11

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

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]