A 45-year-old man presents with sudden severe epigastric pain radiating to the back, nausea, and vomiting. His serum lipase is 1,200 U/L. CT scan shows peripancreatic fat stranding but no necrosis. Which is the most appropriate initial management?
-
A
Immediate surgical debridement
-
B
IV fluids, bowel rest, and analgesics
-
C
Emergency ERCP
-
D
Oral enzyme replacement therapy