Moderate Fluid Resuscitation Preferred Over Aggressive Resuscitation in Acute Pancreatitis
June 1, 2023
Dr. Houston Clinical question: Does early, aggressive, fluid resuscitation improve clinical outcomes in acute pancreatitis when compared to moderate fluid resuscitation? Background: Studies...
Procalcitonin to Predict Severity of Acute Cholangitis and Need for Urgent Biliary Decompression
May 1, 2023
Dr. Ally Clinical question: What impact does procalcitonin have on the management of acute cholangitis? Background: Procalcitonin has been used to predict disease severity that may lead...
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis
May 1, 2023
Dr. Hammond Clinical question: Is early, aggressive, fluid resuscitation in acute pancreatitis or moderate fluid resuscitation the best and safest way to prevent progression to moderately severe...
Aggressive IV Fluids Plus Rectal NSAIDs Don’t Prevent Post-ERCP Pancreatitis
January 3, 2023
Dr. Moulder Clinical question: Does the addition of aggressive intravenous hydration to rectal nonsteroidal anti-inflammatory drugs (NSAIDs) help prevent post-endoscopic retrograde...
No benefit for immediate intervention for infected necrotizing pancreatitis
January 7, 2022
Dr. Berry Clinical question: Is drainage within 24 hours of diagnosis of infected necrotizing pancreatitis superior at preventing complications? Background: Diagnosis of infected necrotizing...
COVID-associated pancreatitis may disproportionately affect young, overweight men
June 24, 2020
The endocrine pancreas may be “particularly vulnerable to this infection” and may result in prolonged hospital stays from poor diabetic control.
Acute biliary pancreatitis linked to poor outcomes in elderly
September 6, 2018
Compared with younger patients, elderly patients admitted for acute biliary pancreatitis have increased rates of adverse outcomes.
AGA Guideline: Use goal-directed fluid therapy, early oral feeding in acute pancreatitis
March 1, 2018
New guideline gives practical recommendations for the first 2 weeks of care.