Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 21, 2014; 20(43): 16106-16112
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16106
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16106
Surgical management of necrotizing pancreatitis: An overview
George Kokosis, Alexander Perez, Theodore N Pappas, Department of Surgery, Duke University Medical Center, Durham, NC 27705, United States
Author contributions: Kokosis G performed the literature review and drafting of the article; Perez A contributed to interpretation of the data and additional drafting of the article; Pappas TN revised the article for important intellectual content as well as further interpretation of the data.
Correspondence to: Theodore N Pappas, MD, Department of Surgery, Duke University Medical Center, Durham, NC 27705, United States. pappa001@mc.duke.edu
Telephone: +1-919-6813442 Fax: +1-919-6681826
Received: February 27, 2014
Revised: April 23, 2014
Accepted: May 25, 2014
Published online: November 21, 2014
Processing time: 266 Days and 11 Hours
Revised: April 23, 2014
Accepted: May 25, 2014
Published online: November 21, 2014
Processing time: 266 Days and 11 Hours
Core Tip
Core tip: This is a review of the most current literature in management of necrotizing pancreatitis and infected necrotizing pancreatitis. The recent years more conservative management has been advocated. Additionally, if necrosectomy is required, minimally invasive approaches such as endoscopic, laparoscopic, or video assisted retroperitoneoscopic debridement are gaining popularity over the traditional open surgery. This paper illustrates this paradigm shift and can help guide the multidisciplinary teams when treating patients with severe acute pancreatitis.