Желудочно-кишечная и пищеварительная система

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Surgery for Severe Acute Necrotizing Pancreatitis – Which is the Best Procedure?

Rahul Gupta

Surgical management of acute necrotizing pancreatitis is rapidly evolving with newer minimally invasive techniques replacing traditional open necrosectomy as the preferred surgical procedure at various centres worldwide. But one needs to take in to account multiple factors while choosing the most appropriate procedure for a given patient. Also one needs to plan based on the clinical condition of the patient and the timing of intervention that whether patient will benefit from ‘Step up approach’ or primary necrosectomy. These critical issues have been discussed so as to facilitate clinical decision making and importance of multidisciplinary team is highlighted in order to reduce morbidity and mortality associated with severe acute necrotizing pancreatitis.