Question

A 39-year-old with 10 hours of severe epigastric pain and lipase 1,500 U/L has suspected biliary pancreatitis (ALT 260 U/L). Afebrile, no cholangitis. Most appropriate initial management?

Accepted Answer

Early enteral nutrition as tolerated and aggressive IV fluids

Answer

Prophylactic antibiotics

Answer

Immediate ERCP for all suspected biliary cases

Answer

NPO for 5-7 days

Answer

Total parenteral nutrition on day 1

Practice question

A 39-year-old with 10 hours of severe epigastric pain and lipase 1,500 U/L has suspected biliary pancreatitis (ALT 260 U/L). Afebrile, no cholangitis. Most appropriate initial management?