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MediumGastroenterologyAcute pancreatitisau-amcau-acem

A 47-year-old woman presents with sudden severe epigastric pain radiating to the back, vomiting and elevated serum lipase more than three times the upper limit of normal. Ultrasound shows gallstones without bile duct dilatation. She is haemodynamically stable. What is the most appropriate initial management?

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