alexa Modern Surgical Concepts in the Treatment of Severe Acu
ISSN: 2165-7092

Pancreatic Disorders & Therapy
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Review Article

Modern Surgical Concepts in the Treatment of Severe Acute Pancreatitis– An Individualized Approach to the Patient

Angst E1,2, Storni F1 and Gloor B1*
1Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern, Switzerland
2Clinic of Surgery, Cantonal Hospital, Schaffhausen, Switzerland
Corresponding Author : Beat Gloor
Department of Visceral Surgery and Medicine
Inselspital, University of Bern
Bern, Switzerland
Tel: +41 31 632 2477
Received July 08, 2013; Accepted October 01, 2013; Published October 08, 2013
Citation: Angst E, Storni F, Gloor B (2013) Modern Surgical Concepts in the Treatment of Severe Acute Pancreatitis–An Individualized Approach to the Patient. Pancreat Disord Ther 3:125. doi:10.4172/2165-7092.1000125
Copyright: © 2013 Angst E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Treatment of patients suffering from severe acute pancreatitis still represents a challenge. Over the last decades there was a clear shift from early repeated open surgical procedures to delayed minimal invasive surgical and/or endoscopic interventions. The initial systemic inflammatory response syndrome is best treated conservatively in the intensive care unit. Surgical or interventional procedures are indicated based on the clinical course. Drains placed under radiological guidance are usually the first step. If further treatment is necessary a minimal invasive approach is preferred. Delaying surgery until the third week after disease onset renders necrosectomy less tedious.

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