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Acute Pancreatitis

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.


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