Acute necrotizing pancreatitis

Mayur Narayan, Jose J. Diaz

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Acute necrotizing pancreatitis remains a significant problem with significant morbidity and mortality. Keys to management include proper diagnosis, admission to the intensive care unit, aggressive resuscitation, and a multidisciplinary approach for management options. The care team should include a designated surgeon, gastroenterologists with expertise in endoscopic retrograde pancreaticography and stent placement, interventional radiologists, infectious disease physicians, nutritionists, respiratory therapists, and physical therapists. Antibiotics, nutritional support, and a dedicated team with expertise in managing these patients are keys to successful outcomes. This chapter provides current state-of-the-art management of necrotizing pancreatitis with particular emphasis on managing complex complications a surgeon may encounter.

Original languageEnglish (US)
Title of host publicationComplications in Acute Care Surgery
Subtitle of host publicationThe Management of Difficult Clinical Scenarios
PublisherSpringer International Publishing
Pages129-143
Number of pages15
ISBN (Electronic)9783319423760
ISBN (Print)9783319423746
DOIs
StatePublished - Jan 1 2016

Keywords

  • Damage control
  • Debridement
  • Drains
  • Fistula
  • Necrosectomy
  • Necrosis
  • Open abdomen
  • Pancreatitis
  • Step-up approach/VARDS

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Narayan, M., & Diaz, J. J. (2016). Acute necrotizing pancreatitis. In Complications in Acute Care Surgery: The Management of Difficult Clinical Scenarios (pp. 129-143). Springer International Publishing. https://doi.org/10.1007/978-3-319-42376-0_10