Tenner, the guidelines emphasize the importance of early aggressive intravenous hydration. The authors stress the need for close observation while patients are being hydrated during the early phase of management. The guidelines also highlight endoscopic retrograde cholangiopancreatography (ERCP), a procedure that combines an upper endoscopy and x-rays to treat problems in the bile and pancreatic ducts. According to the guidelines, patients with acute pancreatitis and concurrent acute cholangitis should undergo ERCP within 24 hours of admission. It is also important to note that the prevalence of acute pancreatitis has been increasing in recent years. “Although the case fatality rate for acute pancreatitis has decreased over time, the overall population mortality rate for acute pancreatitis has remained unchanged,” state the guidelines. To listen to the podcast of Dr. Tenner discussing the guidelines, visit: http://gi.org/physician-resources/podcasts/the-american-journal-of-gastroenterology-author-podcasts/. About the American College of Gastroenterology Founded in 1932, the American College of Gastroenterology (ACG) is an organization with an international membership of more than 12,000 individuals from 80 countries. The College is committed to serving the clinically oriented digestive disease specialist through its emphasis on scholarly practice, teaching and research. The mission of the College is to serve the evolving needs of physicians in the delivery of high quality, scientifically sound, humanistic, ethical, and cost-effective health care to gastroenterology patients. http://www.gi.org About The American Journal of Gastroenterology The American Journal of Gastroenterology is published on behalf of the American College of Gastroenterology by Nature Publishing Group. As the leading clinical journal covering gastroenterology and hepatology, The American Journal of Gastroenterology provides practical and professional support for clinicians dealing with the gastroenterological disorders seen most often in patients. The Co-Editors-in-Chief are William D. Chey, MD, AGAF, FACG, FACP of the University of Michigan and Paul Moayyedi, BSc, MB ChB, PhD, MPH, FRCP, FRCPC, FACG of McMaster University.