Abstract
Acute pancreatitis (AP) is one of the most common gastrointestinal diseases in the emergency department and hospitalization setting. Its incidence is progressively increasing and the main etiologies are cholelithiasis and alcohol. The diagnosis is based on clinical, analytical, and radiological criteria. There are other diseases with similar clinical and analytical abnormalities and thus, it is necessary to make a correct differential diagnosis. The initial treatment is symptomatic (analgesia) and supportive (serum therapy based on targets). Monitoring is especially important for the early identification of patients with poor progress. The treatment for moderately severe AP is based on organ failure support, specific pharmacological treatment in selected cases (antibiotic therapy), nutritional treatment, and interventional treatment for symptomatic pancreatic necrosis. The treatment for cases of moderately severe AP must take place, when possible, in reference centers with multidisciplinary teams. Etiological treatment of the cause of pancreatitis is essential for preventing new episodes.
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