When pancreatic abscess occurs in the context of infected pancreatic necrosis and the patient is clinically unstable, current consensus identifies a specific operative approach as the appropriate course of action.
Infected pancreatic necrosis in a clinically unstable patient — a high-acuity presentation where conservative management alone is not sufficient and escalation to surgical intervention is indicated.
The management involves a direct surgical intervention targeting the necrotic pancreatic tissue. The complete protocol — including specific technique, operative considerations, and sequencing — is detailed in the full structured regimen.
DOI: 10.14309/ajg.0000000000002645
Current consensus is that surgery should be performed on clinically unstable patients with infected necrosis.
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