Mortality and morbidity in necrotizing pancreatitis managed on principles of step-up approach: 7 years experience from a single surgical unit

Table 1 Epidemiologic and Radiologic characteristics of patients n (%)

Total patients	77
Age range	15-65
Average age	35.65
M:F	6:01
Etiology
Alcohol	55 (71.5)
Gall stones	16 (20.8)
Ascariasis	1 (1.2)
Idiopathic	5 (6.5)
Severity
Moderately severe	59 (76.6)
Severe	18 (23.4)
Extent of involvement
> 90%	27 (35.06)
50%-90%	38 (49.35)
30%-50%	9 (11.68)
Peripancreatic necrosis	3 (3.89)
APACHE II score range	8-19
Average APACHE score	12.4
CTSI range	6-10
CTSI average	8

CTSI: Computed tomography severity index. M: Male; F: Female.

Table 2 Details of interventions done in 30 patients

Name of procedure	No. of patients
Percutaneous catheter drainage	12
Step-up retroperitoneal necrosectomy	3
Direct retroperitoneal necrosectomy	3
Direct anterior necrosectomy	12
Transgastric debridement with internal drainage (Cystogastrostomy)	2
Diverting stoma	6
Duodenojejunal bypass	1
Embolisation for bleeding pseudoaneurysms	2