What are the indications for surgical and radiological interventions in severe acute pancreatitis?

  • Relieving biliary obstruction (e.g. ERCP)
  • Removing infected intra- and extra-pancreatic necrosis (Necrosectomy)
  • Pancreatic duct disruption
  • Management of symptomatic masses due to pseudocysts or sterile necrosis:
    • Gastric outlet or intestinal obstruction
    • Persistent pain