- Author:
Christine BOUMITRI
1
;
Elizabeth BROWN
;
Michel KAHALEH
Author Information
- Publication Type:Review
- Keywords: Walled-off pancreatic necrosis; Pseudocyst; Pancreatitis; Necrosis
- MeSH: Drainage; Mortality; Necrosis; Pancreatitis*; Pancreatitis, Acute Necrotizing
- From:Clinical Endoscopy 2017;50(4):357-365
- CountryRepublic of Korea
- Language:English
- Abstract: Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of pancreatic necrosis has shifted away from open necrosectomy, as it is associated with a high morbidity, to less invasive techniques. In this review, we summarize the current management and therapies for acute necrotizing pancreatitis.