The surgical approach to severe acute pancreatitis |
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| Authors: | Karen Todd Howard A. Reber |
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| Affiliation: | 1. Department of Surgery, Sepulveda VA Medical Center, 16111 Plummer Street, 91343, Sepulveda, CA, USA
2. Department of Surgery, UCLA School of Medicine, CHS 72-215, 10833 Le Conte Avenue, 90024-1749, Los Angeles, CA, USA
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| Abstract: | The indications for surgery in severe acute pancreatitis include circumstances in which the diagnosis is uncertain, persistent biliary pancreatitis, infected pancreatic necrosis, and some patients with pancreatic abscess. The controversy surrounding surgical treatment for sterile pancreatic necrosis, and situations in which the disease persists in spite of intensive medical management are also addressed. Surgical principles and the merits of open versus closed drainage are reviewed. |
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| Keywords: | acute pancreatitis surgery nonoperative treatment |
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