Infected pancreatic necrosis: minimizing the cut.
The challenge for the pancreatologist managing patients with infected pancreatic necrosis is to devise a treatment algorithm that enables recovery but at the same time limits the morbidity and mortality. The current gold standard remains open necrosectomy. Recent literature contains scattered reports of endoscopic, radiologic, laparoscopic, percutaneous and lumbotomy approaches to managing patients with this condition. This literature review addresses the role of techniques that aim to minimize the physiological insult to the patient with infected pancreatic necrosis.
Wysocki
A Peter
AP
Department of Surgery, Logan Hospital, Meadowbrook, Queensland, Australia. arek_p@ecn.net.au
McKay
Colin J
CJ
Carter
C Ross
CR
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement / Q000379:methods*; D004322:Drainage / Q000379:methods; D016145:Endoscopy, Digestive System / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D015641:Radiography, Interventional
D000900:Anti-Bacterial Agents