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2016 ; 9
(ä): 345-350
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Necrotizing pancreatitis: challenges and solutions
#MMPMID27826206
Bendersky VA
; Mallipeddi MK
; Perez A
; Pappas TN
Clin Exp Gastroenterol
2016[]; 9
(ä): 345-350
PMID27826206
show ga
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.