GuidelineCurrent

AGA 2018 — AGA Institute Guideline on Initial Management of Acute Pancreatitis

American Gastroenterological Association, 2018

Moderate goal-directed fluid resuscitation with Lactated Ringer's is recommended over aggressive over-resuscitation. Routine prophylactic antibiotics in sterile necrotizing pancreatitis are not recommended. A minimally invasive step-up approach is preferred for infected necrotizing pancreatitis.

Strong recommendationHigh certainty

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Clinical Context & Relevant Topics (1)

Disease Reference

Severe Acute Pancreatitis

Revised Atlanta severity staging, goal-directed fluid resuscitation informed by WATERFALL, oral/enteral nutrition as tolerated, antibiotic avoidance in sterile necrosis, and the PANTER step-up approach.

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