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.
Drainage ; Mortality ; Necrosis ; Pancreatitis* ; Pancreatitis, Acute Necrotizing

Interpretation of tuberculosis (TB) surveillance data in Solomon Islands between 2016 and 2022 should be informed by local conditions, including pandemic disruptions in contact tracing. The TB surveillance data recently reported by Yanagawa et al. has features indicative of underdiagnosis. We thus advise caution in the interpretation of this data.