GASTROENTEROLOGY ARTICLE OF THE WEEK
January 14, 2010
Talukdar R, Vege SS. Recent developments in acute pancreatitis. Clin Gastroenterol Hepatol 2009;7:S3-S9
1. Which of the following recommendations are considered state-of-the-art:
a. Aggressive fluid replacement using albumin instead of colloid
b. Early enteral feedings in all cases of severe acute pancreatitis, using either gastric or jejunal feed
c. Prophylactic antibiotics recommended for all cases of pancreatic necrosis
d. Prophlactic use of anti-fungal therapy for patients with organ failure
e. Pancreatic debridement as early as possible after infection is identified
True or False
2. The main value of initiating early feedings in acute pancreatitis is to prevent malnutrition
3, Smoking is considered a risk factor for acute pancreatitis
4. Pancreatic necrosis with no organ failure has a high morbidity but a low mortality
5. After an episode of biliary pancreatitis, risk of recurrence in the absence of cholecystectomy is 30%-66% within 3 months