Question

A 45-year-old patient presents with epigastric pain radiating to the back and elevated serum lipase. Imaging confirms acute pancreatitis likely due to gallstones. According to NICE guidelines which is a key initial management step?

Accepted Answer

Aggressive IV fluid resuscitation

Answer

Immediate ERCP for all patients

Answer

Early total parenteral nutrition

Answer

Oral antibiotics for all cases

Answer

Immediate laparotomy

Practice question

A 45-year-old patient presents with epigastric pain radiating to the back and elevated serum lipase. Imaging confirms acute pancreatitis likely due to gallstones. According to NICE guidelines which is a key initial management step?