نخر البنكرياس المصاب غير المستجيب للمضادات الحيوية

References

• While antibiotics should not be used in patients with sterile necrosis, antibiotics are an important part of treatment in infected necrosis along with debridement/necrosectomy.
• If there is no response to such antibiotics in a short time or if the clinical situation deteriorates, necrosectomy/debridement should be performed.
• Minimally invasive methods are preferred to open surgery for debridement and necrosectomy in stable patients with symptomatic pancreatic necrosis.
• A well-designed study from the Netherlands using a step-up approach (percutaneous catheter drainage followed by video-assisted retroperitoneal debridement) demonstrated the superiority of the step-up approach by way of lower morbidity (less multiple organ failure and surgical complications) and lower costs.

DOI: 10.14309/ajg.0000000000002645