Remote Home Monitoring in Mild Acute Pancreatitis

Inclusion Criteria

• •Acute pancreatitis according to the revised Atlanta criteria for pancreatitis(23). Which is at least 2 of the following 3 criteria:
• •* Abdominal pain consistent with acute pancreatitis
• •* Serum lipase ≥ 3x upper limit normal (\> 159 U/l)
• •* Typical pancreatic abnormalities on imaging (ultrasound, CT or MRI)
• •First episode of acute pancreatitis or a prior pancreatitis more than 3 months ago
• •Age ≥18 years, both men and women
• •Able and willing to provide written informed consent in Dutch
• •In possession of a working (smart)phone on which patient can be reached for the duration of participation (30 days)
• •≤1 SIRS criteria
• •* Temperature \< 36◦C or \> 38◦C
• •* Heart rate \>90/min
• •* Respiratory rate \>20/min
• •* Leucocytes \< 4x/109/L or \> 12x109/L
• •Serum CRP ≤ 150 mg/l on day of discharge and with a decreasing trend in days before
• •Pain score (NRS) ≤6 with or without the use of pain medication
• •Adequate intake of oral food and fluids (= ≥2 small meals and ≥1L fluids per day)
• •Stable serum creatinine and Ringer's lactate infusion reduced to ≤1L/24 hours
• •Independent in performing general daily life activities