Consensus of primary care in acute pancreatitis in Japan

Figure 1 Algorithm of the primary management of acute pancreatitis at an early stage. ¹Hospitals that cannot provide appropriate monitoring and adequate systemic support should transfer all patients with severe acute pancreatitis to a high special unit or intensive therapy unit. SpO₂: Blood oxygen saturation level by pulse oximetry, CBC: Complete blood count, US: Ultrasonography, CT: Computed tomography, MRI: Magnetic resonance imaging, ERCP: Endoscopic retrograde cholangiopancreatography, EST: Endoscopic sphincterotomy, CRAI: Continuous regional arterial contrast infusion of protease inhibitors and antibiotics, CHDF: Continuous hemodiafiltration.