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Nya nationella riktlinjer för handläggning av akut pankreatit

Regnér, Sara LU and Andersson, Bodil LU (2021) In Läkartidningen 118.
Abstract

This is a short report of the recently published Swedish guidelines for acute pancreatitis, which are based on international guidelines as well as original publications. The report covers diagnosis, classification, treatment and follow up for patients with acute pancreatitis. Early rehydration and goal-based fluid therapy is recommended as well as oral intake of food on demand. Risk factors for development of severe disease and organ failure should be considered already in the emergency unit. Abdominal computer tomography is generally not recommended the first 5-7 days from onset of symptoms. Antibiotic therapy is only recommended when there is suspicion of or a confirmed infection. If intervention is needed for patients with moderate... (More)

This is a short report of the recently published Swedish guidelines for acute pancreatitis, which are based on international guidelines as well as original publications. The report covers diagnosis, classification, treatment and follow up for patients with acute pancreatitis. Early rehydration and goal-based fluid therapy is recommended as well as oral intake of food on demand. Risk factors for development of severe disease and organ failure should be considered already in the emergency unit. Abdominal computer tomography is generally not recommended the first 5-7 days from onset of symptoms. Antibiotic therapy is only recommended when there is suspicion of or a confirmed infection. If intervention is needed for patients with moderate or severe disease a minimal-invasive step-up approach is recommended. Endoscopic Retrograde Cholangiography is generally not recommended as a treatment in the acute phase of the disease. Identification and treatment of the etiology causing acute pancreatitis is essential to prevent new episodes of the disease.

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Please use this url to cite or link to this publication:
author
and
organization
alternative title
Short report of Swedish guidelines for Acute Pancreatitis
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
118
publisher
Swedish Medical Association
external identifiers
  • pmid:33650097
  • scopus:85102231181
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
81677367-b5b1-4a2e-bf1f-211398c5af58
alternative location
https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2021/03/nya-nationella-riktlinjer-for-handlaggning-av-akut-pankreatit/
date added to LUP
2021-03-24 12:49:38
date last changed
2021-06-16 01:36:40
@article{81677367-b5b1-4a2e-bf1f-211398c5af58,
  abstract     = {<p>This is a short report of the recently published Swedish guidelines for acute pancreatitis, which are based on international guidelines as well as original publications. The report covers diagnosis, classification, treatment and follow up for patients with acute pancreatitis. Early rehydration and goal-based fluid therapy is recommended as well as oral intake of food on demand. Risk factors for development of severe disease and organ failure should be considered already in the emergency unit. Abdominal computer tomography is generally not recommended the first 5-7 days from onset of symptoms. Antibiotic therapy is only recommended when there is suspicion of or a confirmed infection. If intervention is needed for patients with moderate or severe disease a minimal-invasive step-up approach is recommended. Endoscopic Retrograde Cholangiography is generally not recommended as a treatment in the acute phase of the disease. Identification and treatment of the etiology causing acute pancreatitis is essential to prevent new episodes of the disease.</p>},
  author       = {Regnér, Sara and Andersson, Bodil},
  issn         = {0023-7205},
  language     = {swe},
  month        = {03},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Nya nationella riktlinjer för handläggning av akut pankreatit},
  url          = {https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2021/03/nya-nationella-riktlinjer-for-handlaggning-av-akut-pankreatit/},
  volume       = {118},
  year         = {2021},
}