A 48-year-old man presents with sudden onset severe epigastric pain radiating to the back after a binge of alcohol. Serum amylase is markedly elevated...

Question

A 48-year-old man presents with sudden onset severe epigastric pain radiating to the back after a binge of alcohol. Serum amylase is markedly elevated and CT scan confirms acute pancreatitis without necrosis. He is haemodynamically stable. Which management is most appropriate in the first 24 hours?

Accepted Answer

Early enteral feeding as tolerated and aggressive intravenous fluid resuscitation

Answer

Routine prophylactic broad-spectrum antibiotics

Answer

Immediate ERCP for all cases

Answer

Total parenteral nutrition

Answer

Discharge home with oral analgesia

au-amc MCQ (SBA): Acute pancreatitis

A 48-year-old man presents with sudden onset severe epigastric pain radiating to the back after a binge of alcohol. Serum amylase is markedly elevated and CT scan confirms acute pancreatitis without necrosis. He is haemodynamically stable. Which management is most appropriate in the first 24 hours?