How should pancreatic necrosis be managed?

Management depends upon whether necrosis is sterile or infected: Patients with >30% necrosis or clinical suspicion of sepsis should undergo guided fine needle aspiration for cultures Sterile necrosis- debridement and/or drainage is not recommended  Infected...

What interventions are available to manage pancreatic necrosis?

Aim of drainage is to remove infected material without breaching the peritoneum Optimum method remains controversial – usually dependent upon local resources and expertise: Percutaneous Drainage Endoscopic Transluminal Drainage Surgical Necrosectomy Associated...