Читать книгу Clinical Pancreatology for Practising Gastroenterologists and Surgeons - Группа авторов - Страница 173
How to Deal with Infected (Peri)pancreatic Necrosis
ОглавлениеInfected pancreatic necrosis is associated with a high complication and mortality rate. Optimal management requires a multidisciplinary approach, including at least gastroenterologists, surgeons, interventional radiologists, and specialists in critical care medicine. Based on this approach, patients with severe disease should be transferred to high‐volume specialized centers.
Infected pancreatic necrosis is currently managed following a minimally invasive step‐up approach. This approach is based on the stepwise use of (i) systemic antibiotics, (ii) endoscopic or percutaneous drainage, and (iii) endoscopic or percutaneous minimally invasive necrosectomy.