The management of suspected pancreatic sepsis

Gastroenterology Clinics of North America
Tyler M BerzinPeter A Banks


The management of infected pancreatic necrosis is centered on image-guided fine needle aspiration followed by antibiotic therapy that is based on microbiologic culture results. The authors favor targeted antibiotic therapy rather than routine prophylactic antibiotic coverage. Prompt surgical debridement is recommended for patients who have infected necrosis who are suitable operative candidates. Newer surgical, percutaneous, and endoscopic techniques, as well as prolonged antibiotic therapy without intervention, are being evaluated as alternatives to operative debridement. Well-designed prospective trials will help to determine optimal treatment for patients who have infected pancreatic necrosis.


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Related Concepts

Endoscopy (Procedure)
Fine Needle Aspiration Biopsy
Drugs used in migraine prophylaxis
Pancreatic Diseases
Sepsis (Invertebrate)
Infected Pancreatic Necrosis

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