A 47-year-old man presents with severe epigastric pain radiating to the back, vomiting and raised serum amylase and lipase consistent with acute pancr...

Question

A 47-year-old man presents with severe epigastric pain radiating to the back, vomiting and raised serum amylase and lipase consistent with acute pancreatitis. Ultrasound shows gallstones. He is haemodynamically stable without organ failure. Which of the following is recommended in the initial management?

Accepted Answer

Early cholecystectomy within the same admission once stable

Answer

Early prophylactic intravenous antibiotics

Answer

Routine ERCP in all patients with gallstone pancreatitis

Answer

Withhold all fluids to avoid worsening oedema

Answer

High-dose morphine but avoid any enteral nutrition for a week

au-amc MCQ (SBA): Acute gallstone pancreatitis