Abstract
• Clarification of CP diagnosis: Criteria like imaging and functional tests are lacking. • Severity and ascitic fluid: Scoring systems, SAAG, and cultures could guide better care. • Questionable spironolactone use: Pancreatic ascites needs ductal repair, not diuretics. • Vancomycin monotherapy lacks justification without microbiological evidence. • Pediatric guidelines: NSAIDs are not routinely recommended; focus on supportive care. • Imaging for ERCP: Definitive evidence is missing; MRCP could complement diagnostics.