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Surgery for Severe Acute Necrotizing Pancreatitis – Which is the Best Procedure?
Rahul Gupta*Senior Resident, General Surgery, Chandigarh, India
- *Corresponding Author:
- Rahul Gupta
Senior Resident, PGIMER
General Surgery Sector 12
Chandigarh 160012, India
Tel: 919914209649
E-mail: rahul.g.85@gmail.com
Received date: March 17, 2014; Accepted date: May 19, 2014; Published date: May 25, 2014
Citation: Gupta R (2014) Surgery for Severe Acute Necrotizing Pancreatitis – Which is the Best Procedure?. J Gastroint Dig Syst 4:185. doi:10.4172/2161-069X.1000185
Copyright: © 2014 Gupta R. 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.
Abstract
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.
