Abstract
The guidelines address the initial steps in diagnosis, investigation and treatment of acute pancreatitis, but stop short of the specific surgical management of complex cases. The nature of acute pancreatitis with its wide variation of severity and complications means that rigid guidelines may be inappropriate and difficult to apply. Thus, although these guidelines attempt to describe the highest standard of care and set audit goals, a large element of independent clinical decision making is still required. A further factor relates to the availability of local resources and expertise in the management of acute pancreatitis and this is addressed with reference to specialist units.

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