CRP >150

Key points

• Persisting or progressive organ failure Table adapted from UK guidelines for management of acute pancreatitis. GUT 2005, 54 suppl III Management Nutrition
• There is reasonable evidence to suggest that the use of enteral nutrition does not worsen the outcome in pancreatitis
• Most trials to date were underpowered to demonstrate a conclusive benefit.
• The rationale behind feeding is that it helps to prevent bacterial translocation from the gut, thereby contributing to the development of infected pancreatic necrosis. Use of antibiotic therapy
• Many UK surgeons administer antibiotics to patients with acute pancreatitis.