Article Text

Download PDFPDF

Practical guide to the management of acute pancreatitis
  1. George Goodchild1,
  2. Manil Chouhan2,
  3. Gavin J Johnson1
  1. 1 Department of Gastroenterology, University College Hospital, London, UK
  2. 2 Department of Radiology, University College Hospital, London, UK
  1. Correspondence to Dr Gavin J Johnson, Department of Gastroenterology, University College Hospital, London, NW1 2BU, UK; gavin.johnson2{at}


Acute pancreatitis (AP) is characterised by inflammation of the exocrine pancreas and is associated with acinar cell injury and both a local and systemic inflammatory response. AP may range in severity from self-limiting, characterised by mild pancreatic oedema, to severe systemic inflammation with pancreatic necrosis, organ failure and death. Several international guidelines have been developed including those from the joint International Association of Pancreatology and American Pancreatic Association, American College of Gastroenterology and British Society of Gastroenterology. Here we discuss current diagnostic and management challenges and address the common dilemmas in AP.

  • acute pancreatitis
View Full Text

Statistics from


  • Contributors All authors contributed equally to this review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There are no unpublished data in this article.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Commentary
    Andrew R Hart Gavin Johnson Matthew T Huggett
  • UpFront
    R Mark Beattie