Management of severe acute pancreatitis in 2019

Abstract

shock (systolic blood pressure <90 mmHg), pulmonary insufficiency (PaO 2 ≤60 mmHg), acute kidney injury (serum creatinine level >2 mg/dL), and gastrointestinal bleeding. Approximately 15-25% of all patients with acute pancreatitis develop severe pancreatitis with local complications, such as necrosis, pseudocyst, or abscess formation (2). NutritionPatients who develop pancreatitis are often placed NPO until the inflammation has resolved and can withstand an oral diet. Current ligature supports the notion that enteral nutrition is superior to parenteral nutrition. In severe acute