ASGE Annual GI Advanced Practice Provider Course (Virtual) - Day Two | April 2022-22_ Pancreas Case Studies

22_ Pancreas Case Studies - Enslin

Pdf Summary

This document provides a case-based discussion on acute pancreatitis (AP). It starts with the case of a 45-year-old male presenting with severe epigastric pain and provides information on his medical history and lab results. The document discusses the causes of AP, including gallstones and alcohol, and briefly mentions medication-induced AP. It then emphasizes the evaluation and management of AP, including the importance of laboratory tests and predictors of severity. The document highlights the management of AP, which involves hospital admission, aggressive intravenous fluid hydration, analgesics, and antiemetics. It also mentions interventions specific to the cause of pancreatitis, such as ERCP for cholangitis/choledocholithiasis and the discontinuation of causative medications. The severity of AP is categorized into mild, moderately severe, and severe forms, and various prognostic scoring systems are mentioned. The document further discusses potential complications of AP, including pancreatic pseudocysts and necrosis, and provides information on their management, including observation, drainage, and surgical intervention. The timing of cholecystectomy in gallstone pancreatitis is also discussed. The document concludes with information on recurrent AP and its possible causes, such as pancreas divisum, hereditary pancreatitis, and autoimmune pancreatitis. It briefly touches on the treatment of autoimmune pancreatitis and highlights some important take-home points, such as the increasing incidence of AP and the importance of early diagnosis, pancreatic rest, intravenous fluids, and recognition of systemic inflammatory response syndrome (SIRS).

Keywords

acute pancreatitis

case-based discussion

gallstones

alcohol

evaluation and management

severity of AP

complications

pancreatic pseudocysts

surgical intervention

autoimmune pancreatitis