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ModerateGastrointestinalAcute pancreatitis initial managementuk-plab-1

A 48 year old man presents with sudden onset severe epigastric pain radiating to the back after a weekend of heavy alcohol intake. Serum amylase is three times the upper limit of normal and ultrasound shows no gallstones. According to NICE guidance on pancreatitis, which of the following is the most appropriate initial management strategy?

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