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Early Management of Biliary Pancreatitis

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The Management of Gallstone Disease

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Abstract

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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Authors and Affiliations

  1. Department of Surgery, University of Auckland, Auckland, New Zealand

    Alistair B. J. Escott M.B.Ch.B., P.G. Dip. Surg. Anat.

  2. Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland Mail Centre, 1142, Auckland, New Zealand

    John A. Windsor BSc, MBChB, MD, FRACS, FACS

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  1. Alistair B. J. Escott M.B.Ch.B., P.G. Dip. Surg. Anat.
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  2. John A. Windsor BSc, MBChB, MD, FRACS, FACS
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Correspondence to John A. Windsor BSc, MBChB, MD, FRACS, FACS .

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Editors and Affiliations

  1. Professor of Surgery, Nepean Clinical School University of Sydney, Sydney, NSW, Australia

    Michael R. Cox

  2. Discipline of Surgery, The Whiteley-Martin Research Centre, University of Sydney, Sydney, NSW, Australia

    Guy D. Eslick

  3. Divisional Director of Surgery, Flinders Medical Centre, Adelaide, SA, Australia

    Robert Padbury

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Escott, A.B.J., Windsor, J.A. (2018). Early Management of Biliary Pancreatitis. In: Cox, M., Eslick, G., Padbury, R. (eds) The Management of Gallstone Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-63884-3_8

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