Management of infected pancreatic necrosis include all except:
Pancreatic necrosis: Non ble fat or pancreatic tissue in peri-pancreatic region Acute necrotic collection (ANC)- intra/extra pancreatic collection containing fluid and necrotic material, with no definable wall This may develop a well-defined inflammatory capsule over a period of 4 weeks- Walled-off necrosis (WON) Diagnosis- CT abdomen Management: Percutaneous drainage under CT/USG guidance with widest bore drain | Appropriate antibiotics should be staed after culture of aspirate | If sepsis worsens, pancreatic necrosectomy is done Nutritional suppo is essential- parenteral & nasojejunal approaches
Empirical antibiotics only
Percutaneous drainage under USG guidance
Nutritional suppo
Pancreatic necrosectomy
Pancreas