Protocolo terapéutico de indicación y tratamiento intervencionista en la pancreatitis necrotizante

Abstract

The infection of pancreatic necrosis is the complication of acute necrotizing pancreatitis associated with the highest morbidity and mortality in the late phase of the disease. An intervention for pancreatic necrosis is indicated in the case of infected necrosis or necrosis with persistent symptoms that do not respond to conservative treatment. An intervention for pancreatic necrosis should be delayed, when possible, until the organized necrosis stage (granulation tissue wall formation). As a general rule, the choice of interventional treatment should be sequential (from less to more invasive). The decision must be multidisciplinary and individualized for each patient.