caa a22 4500 606248161 CHVBK 20210128101349.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s12262-015-1357-x doi (NATIONALLICENCE)springer-10.1007/s12262-015-1357-x Surgery for Acute Pancreatitis [Elektronische Daten] [Suresh Navadgi, Sanjay Pandanaboyana, John Windsor] Surgery for acute pancreatitis has undergone significant changes over the last 3 decades. A better understanding of the pathophysiology has contributed to this, but the greatest driver for change has been the rise of less invasive interventions in the fields of laparoscopy, endoscopy and radiology. Surgery has a very limited role in the diagnosis of acute pancreatitis. The most common indication for intervention in acute pancreatitis is for the treatment of complications and most notably the treatment of infected walled off necrosis. Here, the step-up approach has become established, with prior drainage (either endoscopic or percutaneous) followed by delay for maturing of the wall and then debridement by endoscopic or minimally invasive surgical methods. Open surgery is only indicated when this approach fails. Other indications for surgery in acute pancreatitis are for the treatment of acute compartment syndrome, non-occlusive intestinal ischaemia and necrosis, enterocutaneous fistulae, vascular complications and pseudocyst. Surgery also has a role in the prevention of recurrent acute pancreatitis by cholecystectomy. Despite the more restricted role, surgeons have an important contribution to make in the multidisciplinary care of patients with complicated acute pancreatitis. Association of Surgeons of India, 2015 Acute pancreatitis nationallicence Pancreatic necrosis nationallicence Infected necrosis nationallicence Laparostomy nationallicence Minimally invasive nationallicence Percutaneous drainage nationallicence Necrosectomy nationallicence Navadgi Suresh Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut Pandanaboyana Sanjay Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut Windsor John Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut Indian Journal of Surgery Springer India 77/5(2015-10-01), 446-452 0972-2068 77:5<446 2015 77 12262 https://doi.org/10.1007/s12262-015-1357-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1357-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Navadgi Suresh Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut NATIONALLICENCE 700 1- Pandanaboyana Sanjay Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut NATIONALLICENCE 700 1- Windsor John Hepatopancreatobiliary / Upper GI Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/5(2015-10-01), 446-452 0972-2068 77:5<446 2015 77 12262