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A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.
Jan 1, 2019 Issue
Antibiotic Prophylaxis for Severe Acute Pancreatitis [FPIN's Help Desk Answers]
No, antibiotic prophylaxis does not decrease mortality in patients with severe acute pancreatitis, defined as pancreatitis associated with pancreatic necrosis.
Computed tomography is the recommended initial imaging study for patients with suspected chronic pancreatitis. However, diagnosis is challenging, especially in the early stages of disease, and patients may need referral for more focused pancreatic imaging, such as MRI or magnetic resonance cholangiopancreatography, or for endoscopic procedures. One-half of patients with eventually require surgery, most commonly because of intractable, disabling pain.
Find out how to determine disease severity, predict outcomes, and prevent complications. Treatment includes bowel rest, fluid hydration, and pain control.
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
What are the effects of lifestyle and drug interventions and dietary supplements in persons with chronic pancreatitis? What are the effects of nerve blocks for pain relief in persons with chronic pancreatitis? What are the effects of different invasive treatments for specific complications of chronic pancreatitis?
Chronic pancreatitis is the progressive and permanent destruction of the pancreas resulting in exocrine and endocrine insufficiency and, often, chronic disabling pain. The etiology is multifactorial. Alcoholism plays a significant role in adults, whereas genetic and structural defects predominate in...
Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other biomarkers an...
Acute pancreatitis usually occurs as a result of alcohol abuse or bile duct obstruction. A careful review of the patient's history and appropriate laboratory studies can help the physician identify the etiology of the condition and guide management. Serum amylase and lipase levels are still used to ...
Acute pancreatitis is a rare finding in childhood but probably more common than is generally realized. This condition should be considered in the evaluation of children with vomiting and abdominal pain, because it can cause significant morbidity and mortality. Clinical suspicion is required to make ...