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The surgical approach to severe acute pancreatitis
Author(s) -
Todd Karen,
Reber Howard A.
Publication year - 1996
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02391022
Subject(s) - medicine , acute pancreatitis , pancreatic abscess , pancreatitis , abscess , necrosis , surgery , general surgery , disease
The indications for surgery in severe acute pancreatitis include circumstances in which the diagnosis is uncertain, persistent biliary pancreatitis, infected pancreatic necrosis, and some patients with pancreatic abscess. The controversy surrounding surgical treatment for sterile pancreatic necrosis, and situations in which the disease persists in spite of intensive medical management are also addressed. Surgical principles and the merits of open versus closed drainage are reviewed.