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ModerateGastroenterologyAcute pancreatitisuk-plab-1

A 39-year-old woman presents with sudden severe epigastric pain radiating to the back, vomiting and sweating after a heavy meal and binge drinking. Serum amylase is three times the upper limit of normal. Ultrasound shows gallstones but no bile duct dilatation. What is the most appropriate initial management?

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