The initial management for acute pancreatitis should include moderately aggressive fluid resuscitation and close monitoring of vital signs and urine output. A new guideline from the ACG emphasizes that early management is crucial to prevent complications such as organ failure and pancreatic necrosis. Recommendations include using transabdominal ultrasound for evaluation, avoiding prophylactic antibiotics in severe cases, and starting early oral feeding within 24 to 48 hours. While medical treatment options are limited, further research is needed to explore the role of aggressive hydration in the first 6 to 12 hours of treatment.
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‘Early aggressive hydration’ essential to avoid complications in acute pancreatitis
