Chapter 13. Acute Pancreatitis

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. Euan J. Dickson,
  2. Colin J. McKay and
  3. C. Ross Carter

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch13

Emergency Surgery

Emergency Surgery

How to Cite

Dickson, E. J., McKay, C. J. and Carter, C. R. (2010) Acute Pancreatitis, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch13

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. West of Scotland Pancreatic Unit, Glasgow Royal Infirmary, Glasgow, Scotland, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • Acute pancreatitis;
  • Acute pancreatitis (AP), common presentation to emergency general surgeon;
  • Mild AP, as interstitial pancreatitis and preservation of pancreatic blood supply and microcirculation;
  • diagnostic criteria for acute pancreatitis;
  • pathophysiology of AP;
  • ERCP – hyperamylasaemia, occurring after endoscopic retrograde cholangiopancreatography (ERCP);
  • pathophysiology - specific aetiology;
  • initial management of patients presenting with AP - conducted in two stages;
  • system for early management of AP;
  • early determination of severity - within first 48 hours of admission


This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Pathophysiology – specific aetiology

  • Management of AP

  • Supportive management

  • Imaging in AP

  • Further management

  • Further reading