Читать книгу Clinical Pancreatology for Practising Gastroenterologists and Surgeons - Группа авторов - Страница 114

Clinicians in the emergency room play a crucial role in the management of AP. Prompt accurate diagnosis is usually made by physical examination, laboratory assessment (including lipase and liver function tests), and right upper quadrant ultrasound scan. Certain special scenarios may warrant CT or MRI in the emergency room. A quick risk stratification facilitates appropriate triage and suitable consultations. Initiating judicious early aggressive fluid resuscitation is the cornerstone of management of AP. After providing adequate pain control, early oral feeding should be encouraged. Pancreatitis, a potentially fatal disease, can be managed effectively in the first few hours of presentation and this can change the natural course of disease towards a better outcome.