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Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 8

A Step-up Approach for the Management of Infected Pancreatic Necrosis

Department of General Surgery, Xuanwu Hospital Capital Medical University, Beijing, China

Correspondence Address:
Dr. Feng Cao
Department of General Surgery, Xuanwu Hospital Capital Medical University, Beijing
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JTCCM_D-21-00022

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Acute pancreatitis (AP) is an acute inflammation of the pancreas. Many of the mild AP and moderately severe AP (SAP) are self-limiting with a good prognosis, but the management of 15%–20% of SAP is very difficult and results in a mortality rate of 36%–50%. It poses a great challenge in clinical diagnosis and treatment. Infected pancreatic necrosis develops in approximately 20% to 30% of patients with AP, which is treated with the use of a step-up approach, with catheter drainage often delayed until the infected necrosis is encapsulated.

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