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The aim of this study was to audit the management of patients with acute pancreatitis against the standards of practice in the British Society of Gastroenterology guidelines.

The study assessed consecutive patients with acute pancreatitis over 5 years. Audit targets were overall mortality below 10 per cent, mortality for severe acute pancreatitis below 30 per cent, correct diagnosis and severity stratification within 48 h, aetiology determined in more than 80 per cent, availability of computed tomography and high-dependency or intensive therapy units when indicated and definitive treatment of gallstone pancreatitis within 2 weeks.

Of 759 patients with acute pancreatitis, 219 (28·9 per cent) had severe acute pancreatitis (SAP). Overall mortality was 5·9 per cent, and 19·6 per cent in those with SAP. Acute pancreatitis was diagnosed …