Question

A 44-year-old man with suspected acute pancreatitis (lipase >3x ULN) has gallstones by ultrasound. Best early management step?

Accepted Answer

Aggressive isotonic fluid resuscitation and analgesia; cholecystectomy during index admission

Answer

Immediate ERCP in all gallstone pancreatitis

Answer

Antibiotics for all

Answer

Total parenteral nutrition routine

Answer

Delay cholecystectomy until 3 months later

Practice question

A 44-year-old man with suspected acute pancreatitis (lipase >3x ULN) has gallstones by ultrasound. Best early management step?