When is surgery indicated for severe acute pancreatitis

When is surgery indicated for severe acute pancreatitis? 

Patients with progressively hemorrhagic or necrotizing infected pancreatitis should undergo surgery when resuscitative measures fail. Both CT-guided catheter drainage of well-localized pancreatic abscesses as well as endoscopic decompression of well-formed pseudocysts may be an alternative. Despite aggressive surgery, mortality rates are still in excess of 40% in some series.


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