RCHT Guidelines available here
All patients should be admitted under the acute general surgical team on their index admission UNLESS known chronic alcohol-related pancreatitis without significant amylase rise, local complications or requirement for continuous patient controlled intravenous opiates (PCA) – these patients should instead be admitted under the medical gastroenterology team.
Referral to Upper GI surgery team (registrar or Consultant level referral) if: -
· Moderately severe or severe pancreatitis.
· Presence of local complications e.g. pancreatic pseudocyst, splenic or portal vein thrombosis, pancreatic necrosis, gastric outlet obstruction, bowel necrosis
· Patients with any severity of pancreatitis remaining in hospital after 72 hours.