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Review
. 2016 Oct 31:9:345-350.
doi: 10.2147/CEG.S99824. eCollection 2016.

Necrotizing pancreatitis: challenges and solutions

Victoria A Bendersky  1 , Mohan K Mallipeddi  2 , Alexander Perez  2 , Theodore N Pappas  2
Affiliations
Review

Necrotizing pancreatitis: challenges and solutions

Victoria A Bendersky et al. Clin Exp Gastroenterol. .

Abstract

Acute pancreatitis is a common disease that can progress to gland necrosis, which imposes significant risk of morbidity and mortality. In general, the treatment for pancreatitis is a supportive therapy. However, there are several reasons to escalate to surgery or another intervention. This review discusses the pathophysiology as well as medical and interventional management of necrotizing pancreatitis. Current evidence suggests that patients are best served by delaying interventions for at least 4 weeks, draining as a first resort, and debriding recalcitrant tissue using minimally invasive techniques to promote or enhance postoperative recovery while reducing wound-related complications.

Keywords: VARD; necrotizing pancreatitis; pancreatic collections; pancreatic debridement; pancreatic necrosectomy.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Open debridement.
Figure 2
Figure 2
Video-assisted retroperitoneal debridement
See this image and copyright information in PMC

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