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ACUTE PANCREATITIS-COMPLICATION MANAGEMENT

Gastroenterology

ACUTE PANCREATITIS-COMPLICATION MANAGEMENT

1. If the amylase is still elevated after 10 days, think of a leaking pseudocyst.

2. With large fluid collections, consider a disrupted pancreatic duct leaking fluid. This can be treated by ERCP with stenting of the duct.

3. ERCP is not done acutely unless a patient has biliary sepsis.

4. Use MRCP after the acute period to diagnose suspected common bile duct stones.

5. Perform cholecystectomy ASAP after gallstone pancreatitis.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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