Acute necrotizing pancreatitis

Mayur Narayan, Jose J. Diaz

Research output: Chapter in Book/Report/Conference proceedingChapter


Acute necrotizing pancreatitis remains a significant problem with significant morbidity and mortality. Keys to management include proper diagnosis, admission to the intensive care unit, aggressive resuscitation, and a multidisciplinary approach for management options. The care team should include a designated surgeon, gastroenterologists with expertise in endoscopic retrograde pancreaticography and stent placement, interventional radiologists, infectious disease physicians, nutritionists, respiratory therapists, and physical therapists. Antibiotics, nutritional support, and a dedicated team with expertise in managing these patients are keys to successful outcomes. This chapter provides current state-of-the-art management of necrotizing pancreatitis with particular emphasis on managing complex complications a surgeon may encounter.

Original languageEnglish (US)
Title of host publicationComplications in Acute Care Surgery
Subtitle of host publicationThe Management of Difficult Clinical Scenarios
PublisherSpringer International Publishing
Number of pages15
ISBN (Electronic)9783319423760
ISBN (Print)9783319423746
StatePublished - Jan 1 2016


  • Damage control
  • Debridement
  • Drains
  • Fistula
  • Necrosectomy
  • Necrosis
  • Open abdomen
  • Pancreatitis
  • Step-up approach/VARDS

ASJC Scopus subject areas

  • Medicine(all)


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