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Management depends upon whether necrosis is sterile or infected:
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Patients with >30% necrosis or clinical suspicion of sepsis should undergo guided fine needle aspiration for cultures
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Sterile necrosis- debridement and/or drainage is not recommended
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Infected necrosis – Optimal interventional strategy usually percutaneous catheter or endoscopic drainage first line. Can be followed by surgical necrosectomy if required.
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