AI Article Synopsis
- - Accurate diagnosis and severity assessment of acute pancreatitis are essential, as multiorgan failure indicates a worse prognosis.
- - Endoscopic retrograde cholangiopancreatography (ERCP) can improve outcomes for acute biliary pancreatitis, and seriously ill patients should be referred to specialized centers.
- - Caution is necessary to prevent complications from treatments, and there's a need for large clinical trials to assess ERCP-related pancreatitis prevention and treatment efficacy for acute gallstone pancreatitis.
Article Abstract
Accurate diagnosis of acute pancreatitis and assessment of disease severity is crucial. Multiorgan failure predicts a poorer prognosis. Treatment of acute biliary pancreatitis by endoscopic retrograde cholangiopancreatography (ERCP) may improve overall prognosis. Referral of seriously ill or unstable patients to a specialized center is recommended. Managing teams must be vigilant regarding the avoidance of iatrogenic complications, such as endoscopic misadventure or inadvertent line sepsis. Large, multicenter endoscopic outcome trials for prevention of ERCP-related pancreatitis, and to determine efficacy of treatment of acute gallstone pancreatitis, are needed.
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| http://dx.doi.org/10.1007/s11938-003-0041-6 | DOI Listing |
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