It is recomended:
- People with pain from chronic alcohol-related pancreatitis to a specialist centre for multidisciplinary assessment.
- Offer surgery, in preference to endoscopic therapy, to people with pain from large-duct (obstructive) chronic alcohol-related pancreatitis.
It is not recomended due to:
- has been shown to improve survival in the short term (1 month)
- has not been shown to improve survival over a longer term (3 months to 1 year)
- has been shown to increase the risk of serious infections within the first 3 months of starting treatment.
It is recomended:
- Exclude alternative causes of liver disease in people with a history of harmful or hazardous drinking who have abnormal liver blood test results.
- Refer people to a specialist experienced in the management of alcohol-related liver disease to confirm a clinical diagnosis of alcohol-related liver disease.
- Consider liver biopsy for the investigation of alcohol-related liver disease. [2010]
*When considering liver biopsy for the investigation of alcohol-related liver ...
Assess the risk of acute kidney injury in adults before surgery. Be aware that increased risk is associated with:
emergency surgery, especially when the person has sepsis or hypovolaemia
intraperitoneal surgery
chronic kidney disease (adults with an eGFR less than 60 ml/min/1.73 m2 are at particular risk)
diabetes
heart failure
age 65 years or over
liver disease
use of drugs that can cause or exacerbate kidney injury in the perioperative period (in particular, NSAIDs after ...