The mechanism by which pancreatitis occurs is not clearly understood. However, it is believed to be related to the auto-digestion of the pancreas. Trypsinogen which is an …show more content…
all patients should be aggressively hydrated with the first 24-48 hours with isotonic crystalloids unless they are contraindications. Patients with concurrent acute cholangitis should undergo endoscopic retrograde cholangiography (ERCP). Antibiotics is only recommended if there is an extra-pancreatic infection such as bacteremia or cholangitis. If the patient has mild acute pancreatitis without nausea and vomiting oral feeding may be started; solid low-fat diet may be started. Initially patient with mild acute pancreatitis were kept nothing by mouth (NPO) without no clinical evidence. Oral feeding has shown to shorten hospital stay. Patients with gallstones should have cholecystectomy before discharged (Tenner, Baillie, DeWitt & Swaroop,