Conservative Treatment Approaches for Acute Pancreatitis

In recent years, the primary approach for managing acute pancreatitis has been conservative medical treatment. The severity of the condition determines the specific course of action, with the following general guidelines:

Management of Mild Pancreatitis

For patients diagnosed with mild acute pancreatitis, treatment typically involves fasting to reduce pancreatic stimulation, acid suppression to decrease gastric secretions, intravenous fluid replacement to maintain hydration, and nutritional support as needed. With appropriate care, most patients begin to recover within about seven days and can resume normal activities shortly thereafter.

Differences in Managing Severe Pancreatitis

Severe acute pancreatitis requires a more intensive approach compared to the mild form. In addition to the standard treatments used for mild cases, patients often need aggressive fluid resuscitation to prevent organ failure and stabilize blood pressure. Early intervention is crucial in minimizing the risk of complications.

Role of Colloids and Crystalloids in Fluid Therapy

Alongside glucose and saline solutions, colloids such as human albumin, plasma, low-molecular-weight dextran, and Ringer's lactate may be administered to help maintain intravascular volume and support circulatory function.

Adjunctive Therapies Including Antibiotics and Herbal Medicine

To prevent secondary infections, antibiotics may be prescribed prophylactically. Some studies also suggest that traditional herbal remedies, such as the commonly used Chai Qin Cheng Qi Tang formula, may offer additional benefits when administered early in the disease course. This integrative strategy aims to improve outcomes while reducing inflammation and supporting recovery.