title: Management of infected pancreatic necrosis-the "step up" approach and minimal access retroperitoneal pancreatic necrosectomy.
abstract: Infected pancreatic necrosis (IPN) is associated with high morbidity and mortality. It is increasingly being recognized that noninvasive management, radiological guided drainage, and minimally invasive procedures rather than the traditionally advocated open necrosectomy are associated with a better outcome in IPN. We present a patient with IPN who was managed with the now popular "step up" approach and describe the procedure of Minimal access retroperitoneal pancreatic necrosectomy.
authors.affiliation: Department of HPB and Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, India.
authors.forename: B Joseph
authors.initials: BJ
authors.lastname: John
authors.affiliation: Department of HPB and Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, India.
authors.forename: S
authors.initials: S
authors.lastname: Swaminathan
authors.affiliation: Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, India.
authors.forename: L
authors.initials: L
authors.lastname: VenkataKrishnan
authors.affiliation: Department of HPB and Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, India.
authors.forename: G S
authors.initials: GS
authors.lastname: Singh
authors.affiliation: Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, India.
authors.forename: G
authors.initials: G
authors.lastname: Krishnaveni
authors.affiliation: Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, India.
authors.forename: N
authors.initials: N
authors.lastname: Mohandas
authors.affiliation: Department of Radiology, PSG Institute of Medical Sciences and Research, Coimbatore, India.
authors.forename: S
authors.initials: S
authors.lastname: Pandey
authors.affiliation: Department of Radiology, PSG Institute of Medical Sciences and Research, Coimbatore, India.
authors.forename: B
authors.initials: B
authors.lastname: Devanand
keywords: Infection; Necrosectomy; Pancreatic necrosis; Step up approach