Necrotizing pancreatitis: A review for the acute care surgeon

Authors

Shravan Leonard-Murali, Henry Ford HealthFollow
Jonathan Lezotte, Henry Ford HealthFollow
Richard Kalu, Henry Ford HealthFollow
Dionne Blyden, Henry Ford HealthFollow
Joe H. Patton, Henry Ford Health
Jeffrey L. Johnson, Henry Ford HealthFollow
Arielle H. Gupta, Henry Ford HealthFollow

Recommended Citation

Leonard-Murali S, Lezotte J, Kalu R, Blyden DJ, Patton JH, Johnson JL, and Gupta AH. Necrotizing pancreatitis: A review for the acute care surgeon. Am J Surg 2021; 221(5):927-934.

Document Type

Article

Publication Date

5-1-2021

Publication Title

American journal of surgery

Abstract

BACKGROUND: Necrotizing pancreatitis is a common condition with high mortality; the acute care surgeon is frequently consulted for management recommendations. Furthermore, there has been substantial change in the timing, approach, and frequency of surgical intervention for this group of patients.

METHODS: In this article we summarize key clinical and research developments regarding necrotizing pancreatitis, including current recommendations for treatment of patients requiring intensive care and those with common complications. Articles from all years were considered to provide proper historical context, and most recent management recommendations are identified.

RESULTS: Epidemiology, diagnosis, treatment in the acute phase, and complications (both short-term and long-term) are discussed. Images of surgical interventions are included from our institutional experience.

CONCLUSION: Necrotizing pancreatitis management remains heavily based on clinical judgement, although technological advances and clinical trials have made decision making more straightforward.

PubMed ID

32878690

Volume

221

Issue

5

First Page

927

Last Page

934