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Initial management of acute pancreatitis

Management of acute pancreatitis in the first hours after onset is challenging to navigate. Goal-directed fluids, early enteral nutrition, and antibiotic stewardship should be prioritized.

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Editor's Choice

Acute pancreatitis as presenting feature of SLE

Gastrointestinal involvement is common in systemic lupus erythematosus but acute pancreatitis as an initial manifestation is extremely rare. The patient's abdominal symptoms resolved after corticosteroid and cyclophosphamide therapy.

Evaluating pathologies of the D2 segment of the duodenum

A comprehensive overview of the pathologies involving the second segment of the duodenum, highlighting the imaging findings that facilitate accurate diagnosis and effective management.

Isotretinoin-induced pancreatitis

Isotretinoin was stopped as a precaution in a young man who suffered several episodes of acute pancreatitis. Recurrence after rechallenge suggests isotretinoin should be recognized as a class 1 pancreaticotoxic drug.

Nutritional interventions for young people with dyslipidemia

A healthy diet in childhood can protect against CVD in young people with dyslipidemia. But what does an ideal diet actually look like, and how can you help your patients to adhere to it?

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SPONSORED

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Sponsored by:
  • Viatris
Developed by: Springer Healthcare
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Case Studies

Acute pancreatitis as presenting feature of SLE

Gastrointestinal involvement is common in systemic lupus erythematosus but acute pancreatitis as an initial manifestation is extremely rare. The patient's abdominal symptoms resolved after corticosteroid and cyclophosphamide therapy.

Isotretinoin-induced pancreatitis

Isotretinoin was stopped as a precaution in a young man who suffered several episodes of acute pancreatitis. Recurrence after rechallenge suggests isotretinoin should be recognized as a class 1 pancreaticotoxic drug.

Minimally invasive treatment of a pancreaticopleural fistula

Successful treatment of a pancreaticopleural fistula with massive pleural effusion using a minimally invasive surgical approach. The case highlights that such a strategy should be considered if endoscopic treatment is not feasible.

Current Reviews

Pancreatic Enzyme Replacement Therapy in Pancreatic Exocrine Insufficiency—Real-World’s Dosing and Effectiveness: A Systematic Review

Pancreatic exocrine insufficiency (PEI) is a medical complication of pancreatic diseases, which results in maldigestion and malabsorption of nutrients due to reduced quantity or activity of secreted pancreatic enzymes [ 1 ]. Several conditions may …

Pancreatitis-related benign biliary strictures: a review of imaging findings and evolving endoscopic management

Biliary strictures can be secondary to a gamut of etiologies, most of which are malignant and the remaining related to a host of benign causes, including pancreatitis. Pancreatitis related benign biliary strictures (BBS) primarily involve the …

Clinical Evaluation of Patients with Elevated Serum Lipase

In our clinical practice, we frequently encounter patients with elevated serum lipase levels, a finding often associated with acute pancreatitis (AP). However, it can occur in other conditions, even at levels ≥ 3 × upper limit of normal (ULN). In …

CME & eLearning

SPONSORED

Webinar

1.5 European CME credits (ECMEC®s)

Severe pain is the most common symptom of chronic pancreatitis. In this live webinar, experts shared the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discussed pertinent cases and provided practical suggestions for use within clinical practice.

Sponsored by:
  • Viatris
Developed by: Springer Healthcare

Further Reading

Histologic Diagnosis of Pancreatic Cystic Lesions with Endoscopic Ultrasound Fine Needle Biopsy and Impact on Management Decisions

It is estimated that 16% of the general population have pancreatic cystic lesions (PCLs) [ 1 ]. The majority of PCLs represent branch-duct intraductal papillary mucinous neoplasms (IPMNs), which are precursors of pancreatic cancer [ 2 ]. Surgical …

Imaging-based biomarkers in acute pancreatitis: the predictive value of adrenal contrast ratios for intensive care unit admission

Acute pancreatitis (AP) is an inflammatory condition of the pancreas with a highly variable clinical course, ranging from mild self-limiting disease to severe multi-organ failure [ 1 ].

Pancreatic Enzyme Replacement Therapy in Pancreatic Exocrine Insufficiency—Real-World’s Dosing and Effectiveness: A Systematic Review

Pancreatic exocrine insufficiency (PEI) is a medical complication of pancreatic diseases, which results in maldigestion and malabsorption of nutrients due to reduced quantity or activity of secreted pancreatic enzymes [ 1 ]. Several conditions may …

Clinical Evaluation of Patients with Elevated Serum Lipase

In our clinical practice, we frequently encounter patients with elevated serum lipase levels, a finding often associated with acute pancreatitis (AP). However, it can occur in other conditions, even at levels ≥ 3 × upper limit of normal (ULN). In …