Advances in Management of Acute Pancreatitis #MMPMID26895677
Janisch NH; Gardner TB
Gastroenterol Clin North Am 2016[Mar]; 45 (1): 1-8 PMID26895677show ga
This chapter will review advances in the management of acute pancreatitis. Medical treatment has been primarily supportive for this diagnosis in the past, 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. While in the past 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.