Saudi Journal of Gastroenterology

ARTICLES
Year
: 1998  |  Volume : 4  |  Issue : 1  |  Page : 1--7

Treatment of acute pancreatitis


Ibrahim Abdulkarim Al-Mofleh 
 Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Ibrahim Abdulkarim Al-Mofleh
Gastroenterology Division (59), King Khalid University Hospital, P.O. Box 7805, Riyadh 11472
Saudi Arabia

There is no specific treatment for acute pancreatitis. Majority of patients with acute pancreatitis respond to medical therapy. Supportive measures and close observations represent the cornerstone of the medical therapy. Failure to respond to medical treatment may indicate choledocholithiasis or infected necrosis. Endoscopic papillotomy with stone retrieval is beneficial in patients with severe biliary pancreatitis. Image-guided fine needle aspiration and bacteriological examination of aspirate is reliable in detecting infection and deliniating causative pathogen. Surgical debridement is the method of choice for treatment of infected necrosis. In contrast, in pancreatic abscess, surgery is preserved for those, who do not respond to percutaneous drainage combined with antibiotics. The benefit of antisecretory and antiproteolytic agents is debatable. A combination of antioxidants, calcium channel antagonists and antibiotics may play a major role in the treatment of acute pancreatitis in the future.


How to cite this article:
Al-Mofleh IA. Treatment of acute pancreatitis.Saudi J Gastroenterol 1998;4:1-7


How to cite this URL:
Al-Mofleh IA. Treatment of acute pancreatitis. Saudi J Gastroenterol [serial online] 1998 [cited 2021 Dec 3 ];4:1-7
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=1998;volume=4;issue=1;spage=1;epage=7;aulast=Al-Mofleh;type=0