Buying health services for local people

If you have recently travelled from Wuhan, China or are looking for information on the coronavirus outbreak please go to our page on coronavirus or the information on GOV.UK

en English
en English

Pancreatitis – Information for GPs

Referral criteria / commissioning position

Any patient with suspected acute pancreatitis should be admitted to secondary care.

Refer to secondary care for:

  • severe, continuous and boring pain. Sudden in onset in epigastrium or with generalised peritonism
  • pain may radiate to the RUQ, chest, flanks and other abdomen
  • nausea and vomiting common
  • fever common
  • distension due to increased fluid in retroperitoneum pushing small bowel with fluid filled loops of a small bowel ileus
  • a late and serious sign is blueish discolouration around the umbilicus (Cullen’s sign) or the flank (Grey-Turners’ sign)
  • hypotension and tachycardia secondary to hypovolaemic shock

Investigations prior to referral (do not delay 2 week referral for these)

In the acute setting none, if chronic then bloods and USS if gallstones have been suspected

Information to include in referral letter

  • If a more chronic picture then alcohol intake and any previous USS results suggesting the presence of gallstones. If bloods performed then include CRP, amylase and LFTs
  • History, treatments and interventions tried in primary care including the results
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • Current regular medication
  • BMI
  • Smoking status
en English