Question

A 49-year-old hospitalized with acute pancreatitis (lipase >3× ULN, typical pain) is euvolemic after initial resuscitation. No organ failure; etiology: gallstones; no cholangitis. Best next management?

Accepted Answer

Early oral feeding as tolerated within 24 hours

Answer

Nil per os for 72 hours

Answer

Prophylactic antibiotics

Answer

Immediate ERCP for all biliary pancreatitis

Answer

Aggressive colloid resuscitation

Practice question

A 49-year-old hospitalized with acute pancreatitis (lipase >3× ULN, typical pain) is euvolemic after initial resuscitation. No organ failure; etiology: gallstones; no cholangitis. Best next management?