Question

A 62-year-old man presents with acute onset of severe epigastric pain radiating to the back and vomiting. He drinks heavily. Serum lipase is elevated at three times the upper limit of normal. According to pancreatitis management principles, what is the most appropriate initial management?

Accepted Answer

Aggressive intravenous fluid resuscitation and analgesia with early oral intake as tolerated

Answer

Immediate ERCP for all patients

Answer

Nil by mouth for 7 days and routine antibiotics

Answer

Start parenteral nutrition on day 1

Answer

Discharge home with oral analgesia

Practice question

A 62-year-old man presents with acute onset of severe epigastric pain radiating to the back and vomiting. He drinks heavily. Serum lipase is elevated at three times the upper limit of normal. According to pancreatitis management principles, what is the most appropriate initial management?