TY - JOUR T1 - Managing severe acute pancreatitis JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 354 LP - 359 DO - 10.3949/ccjm.80gr.13001 VL - 80 IS - 6 AU - Todd Baron Y1 - 2013/06/01 UR - http://www.ccjm.org/content/80/6/354.abstract N2 - Severe acute pancreatitis causes high rates of illness and death. Simple scoring predictors can help identify patients at risk so that treatment, primarily supportive, can begin promptly after presentation. Medical therapy is the mainstay, with supportive therapy consisting of controlled volume resuscitation and enteral feeding. Minimally invasive drainage and debridement play a role in managing infective pancreatic necrosis but in general should not be used until at least 4 weeks after the acute illness. ER -