[download] Evidence-Based Management of Gallstone Pancreatitis [pdf]

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Evidence-Based Management of Gallstone Pancreatitis

Lillian S.KaoMD, MSJayne S.McCauleyMD

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INTRODUCTION

Acute pancreatitis is one of the most common causes for hospitalization and forreadmissions in the United States. In 2014, acute pancreatitis was the thirdmost common diagnosis for patients admitted to the hospital with agastrointestinal illness, accounting for approximately 280,000 cases and costing$2.6 billion [1]. Gallstones and alcohol are the 2 most common causes of acutepancreatitis, although the prevalence of other causes and associated diseases,such as tobacco use and hyperlipidemia, has increased over time [2].Gallstone or biliary pancreatitis, like other causes of acute pancreatitis, ischaracterized by severe epigastric pain and is often associated with nauseaand vomiting. In 1992, the Atlanta classification was developed by expertconsensus to standardize terminology relating to acute pancreatitis. The 2012update, or the revised Atlanta classification, is currently used for the diagnosisof acute pancreatitis, which includes 2 of 3 of the following features:

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