Acute GP service
This is a site intended for clinicians - all guidelines must be interpreted in the context of clinical risk assessment
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.