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TITLE:

SURGICAL APPROACH TO TREAT ACUTE PANCREATITIS

AUTHORS:

Faisal H. Alsarrani, Mohammed S. Almuqbil, Abdulmalek S. Aleidi

ABSTRACT:

Acute pancreatitis can appear clinically in a variety of ways, from very modest symptoms to life-threatening complications. It is crucial to determine the severity and etiology of acute pancreatitis in order to develop a suitable strategy for its therapy. Acute pancreatitis is divided into two subgroups, necrotizing pancreatitis and edematous pancreatitis, based on their morphological characteristics. Eleven different CQs, or clinical questions, have been proposed. Fine needle aspiration bacteriological investigation is a useful tool in making an accurate diagnosis of infected necrosis of the pancreas. It is recommended that patients with sterile pancreatic necrosis seek out conservative therapy options. There is substantial evidence that interventional therapy approaches should be used to treat infected pancreatic necrosis. However, conservative treatment via the infusion of antibiotics is also an option in individuals who demonstrate a stable overall condition. The current consensus among medical experts is to proceed with care when deciding when to intervene surgically in cases of necrotizing pancreatitis. To the fullest extent possible, postponing surgery is recommended. Infected necrosis is best treated with a surgical procedure called necrosectomy. It is crucial to keep a watchful eye out for problems including bile duct or pancreatic duct strictures and conduct a thorough long-term surveillance of pancreatic function after a necrosectomy treatment.

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