Acute pancreatitis: nonsurgical management.
The care of patients with severe acute pancreatitis is complex. Although numerous medical therapies have been proposed, few interventions have been shown to be of benefit in patients with severe disease. This review summarizes the nonoperative management of patients with acute pancreatitis, including therapies shown to be of little value, the role of antibiotics in patients with acute pancreatitis, the importance of monitoring and supportive care, and the rationale of endoscopic and surgical intervention.
Tenner
S
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Department of Gastroenterology, Center for Pancreatic Disease, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, Massachusetts 02115, U.S.A.
Banks
P A
PA
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000150:complications / Q000628:therapy; D006801:Humans; D008991:Monitoring, Physiologic; D009102:Multiple Organ Failure / Q000150:complications / Q000628:therapy; D009336:Necrosis; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000150:complications / Q000628:therapy*; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents