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Pancreatitis, Acute

Robert L. Frachtman, FACG, MD and Marni L. Martinez, APRN Reviewed 06/2022
 


BASICS

DESCRIPTION

Acute inflammation of the pancreas with variable involvement of regional tissue or remote organ systems 
  • Symptoms relate to intrapancreatic activation of enzymes with pain, nausea and...

DIAGNOSIS

Symptoms don’t always correlate with objective findings. 

HISTORY

  • Acute onset of “boring” epigastric pain, which may radiate posteriorly

  • Nausea/vomiting

  • Alcohol use

  • Personal or family history of ...

TREATMENT

GENERAL MEASURES

  • The management of acute pancreatitis continues to evolve. Early feeding, careful use of antibiotics and fewer interventions have changed the medical management of acute pancr...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up imaging in several weeks if the original CT scan showed a fluid collection or necrosis or if the amylase/lipase continues to be elevated. Follow-up find...

REFERENCES

1
Vishnupriya K, Chanmugam A. Acute pancreatitis: the increasing role of medical management of a traditionally surgically managed disease. Am J Med. 2021 Sep 22:S0002-9343(21)00584-2.
2
Habtez...

ADDITIONAL READING

  • Baron TH, DiMaio CJ, Wang AY, Morgan KA . American Gastroenterological Association Clinical practice Update: Management of Pancreatic Necrosis . Gastr...

CODES

ICD10

  • K85.9 Acute pancreatitis, unspecified

  • K85.8 Other acute pancreatitis

  • K85.2 Alcohol induced acute pancreatitis

  • K85.3 Drug induced acute pancreatitis

  • K85.1 Biliary acute pancreatitis

  • K85.0 Idiopat...

CLINICAL PEARLS

  • Pancreatitis is a common cause of hospitalization.

  • Gallstones and alcohol misuse are the leading causes of pancreatitis.

  • The BISAP score is easier to apply than Ranson criteria and just ...

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