Skip to main content
SpringerLink
Log in

Management of Infected Pancreatic Necrosis—The “Step Up” Approach and Minimal Access Retroperitoneal Pancreatic Necrosectomy

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Infected pancreatic necrosis (IPN) is associated with high morbidity and mortality. It is increasingly being recognized that noninvasive management, radiological guided drainage, and minimally invasive procedures rather than the traditionally advocated open necrosectomy are associated with a better outcome in IPN. We present a patient with IPN who was managed with the now popular “step up” approach and describe the procedure of Minimal access retroperitoneal pancreatic necrosectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Explore related subjects

Discover the latest articles, news and stories from top researchers in related subjects.

References

  1. Da Costa DW, Boerma D, van Santvoort HC, Horvath KD et al (2014) Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg 101:e65–e79

    Article  PubMed  Google Scholar 

  2. Flint RS, Windsor JA (2003) The role of the intestine in pathophysiology and management of severe acute pancreatitis. HPB 5(2):69–85

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG et al (2013) Pancreatitis Classification Working Group. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut 62:102–111

    Article  PubMed  Google Scholar 

  4. Sing VK, Wu BU, Bollen TL, Repas K et al (2009) Early systemic inflammatory response syndrome is associated with severe acute pancreatitis. Clin Gastroenterol Hepatol 7:1247–1251

    Article  Google Scholar 

  5. Easler JJ, Zureikat A, Papachristou GI (2012) An update on minimally invasive therapies for pancreatic necrosis. Expert Rev Gastroenterol Hepatol 6(6):745–753

    Article  CAS  PubMed  Google Scholar 

  6. Van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS et al (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. NEJM 362:16

    Article  Google Scholar 

  7. Van Brunschot S, van Grinsven J, Voermans RP, Bakker OJ et al (2013) Transluminal endoscopic step-up approach versus minimally invasive surgical step-up approach in patients with infected necrotizing pancreatitis (TENSION trial): design and rationale of a randomized controlled multicenter trial [ISRCTN09786711]. BMC Gastroenterol 13:161

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of HPB and Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, India

    B. Joseph John, S. Swaminathan & G. S. Singh

  2. Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, India

    L. VenkataKrishnan, G. Krishnaveni & N. Mohandas

  3. Department of Radiology, PSG Institute of Medical Sciences and Research, Coimbatore, India

    S. Pandey & B. Devanand

Authors
  1. B. Joseph John
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Swaminathan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. VenkataKrishnan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. S. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. G. Krishnaveni
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. N. Mohandas
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Pandey
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. B. Devanand
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. Joseph John.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

John, B.J., Swaminathan, S., VenkataKrishnan, L. et al. Management of Infected Pancreatic Necrosis—The “Step Up” Approach and Minimal Access Retroperitoneal Pancreatic Necrosectomy. Indian J Surg 77 (Suppl 1), 125–127 (2015). https://doi.org/10.1007/s12262-014-1197-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-014-1197-0

Keywords

Search

Navigation