Appendix D

 Algorithm of diagnosis and treatment

of acute pancreatitis

(obligatory)

 

Acute upper abdominal pain

 

 

Serum amylase and lipase levels

+

Ultrasonic

 

 

Enzyme levels are normal.                Increasing  of amylase Ultrasonic  changing of                     and lipase levels.

pancreas are absent                            Ultrasonic  changing of  

                                                           pancreas are present

 

 

                                     

 

                                      

Signs of peritonitis

 

 

 

                         Yes                                             No

 

 

 

 

                  Surgery                        Conservative treatment of

                                             acute pancreatitis