Primary conservative therapy in infected pancreatic necrosis: a viable treatment option?

摘要

Garg PK, Sbarma M, Madan K, et al. (Department of Gastroenterology, All India Institute of Medical Sci ences, New Delhi, India). Primary conservative treatment results in mortality comparable to surgery in patients with infected pancreatic necrosis. Clin Gastroenterol Hepatol 2010;8:1089-1094.e2. Pancreatic necrosis occurs in approximately 15% of all patients with acute pancreatitis and is associated with a mortality rate of 8%-39% (Am J Gastroenterol 2006;101: 2379-2400). Infected pancreatic necrosis (IPN) is a potentially lethal complication of pancreatic necrosis and has been identified as an independent predictor of mortality in patients with acute pancreatitis (Gastroenterology 2010:139:813-820).