Acute pancreatitis

acute-pancreatitis · society: ACG

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Summary

The 2024 ACG guideline updates the management of acute pancreatitis with an evidence-based approach to diagnosis, risk stratification, fluid resuscitation, ERCP, antibiotics, nutrition, and management of necrosis. Major shifts from prior versions include endorsement of moderate (rather than aggressive) lactated Ringer’s resuscitation, near-universal use of rectal indomethacin plus periprocedural fluids for ERCP prophylaxis, early oral low-fat solid feeding in mild disease, no prophylactic antibiotics for sterile necrosis, and delayed minimally invasive step-up necrosectomy for infected necrosis.

Current guideline: ACG 2024 Acute Pancreatitis Guideline · download Anki sub-deck

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