Early Management of Biliary Pancreatitis

  • Alistair B. J. Escott
  • John A. Windsor


Acute pancreatitis (AP) is the commonest gastrointestinal disease requiring hospitalisation, is frequently precipitated by biliary disease and has a range of complications. The early management of AP requires confirmation of the diagnosis, prediction of severity and determination of aetiology. Intravenous fluid therapy and enteral nutrition are important cornerstones of the early management. Optimal analgesia, avoidance of prophylactic antibiotics, the management of concomitant cholangitis and timing of cholecystectomy are other important considerations in the early management. The accurate prediction of patients at risk from severe and critical disease should trigger referrals to both a tertiary centre and/or intensive care for best outcomes.

The scope of this chapter is the early management of biliary pancreatitis. The management of various complications of severe pancreatitis such as infected necrosis, psuedocyst and pancreatic ascities are beyond the purpose of this book.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of AucklandAucklandNew Zealand
  2. 2.Department of Surgery, Faculty of Medical and Health SciencesUniversity of AucklandAucklandNew Zealand

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