Disposition

Patients with mild pancreatitis, no evidence of systemic complications, and a low likelihood of biliary tract disease may be managed as outpatients if they are able to tolerate oral fluids and their pain is well controlled. A clear-liquid diet is recommended, oral analgesics should be prescribed, and follow-up in 24 to 48 h is needed. All other patients with acute pancreatitis should be admitted to the hospital. Patients with significant systemic complications, shock, or extensive pancreatic necrosis will need an intensive care setting. Evidence of a pancreatic abscess requires surgical consultation.

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