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Management of Necrotizing Pancreatitis

Severe Pancreatitis
Pathophysiology
Diagnosis of Pancreatic Necrosis
Infected Necrosis
Complications of Severe Pancreatitis: 
1) Pancreatic Fistula
2) Disconnected
of Necrotizing Pancreatitis ... Severe Pancreatitis ... Complications of Severe Pancreatitis ... Duct Syndrome ... #Necrotizing #Pancreatitis
Pancreatitis Complications - Necrotizing Pancreatitis and Fluid Collections
Interstitial Edematous (85%):
 • Acute Pancreatic Fluid Collection (APFC)
85%): • Acute Pancreatic ... (APFC) → • Pancreatic ... • Disconnected pancreatic ... duct syndrome ... • Exocrine pancreatic
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Causes of Fat Malabsorption ... Acquired • Chronic pancreatitis ... Shwachman-Diamond syndrome ... • Short bowel syndrome ... Differential #Diagnosis #Causes
Indications for therapeutic intervention of pancreatic pseudocysts.
Complicated pancreatic pseudocysts (one criterion sufficient)
 • Compression of large
intervention of pancreatic ... Complicated pancreatic ... Haemorrhage into pancreatic ... • Satiety • Nausea ... chronic alcoholic pancreatitis
Solid Pancreatic Masses - Differential Diagnosis
 - Lymphoma
 - Focal Pancreatitis
 - Solid and Cystic Epithelial
Solid Pancreatic ... Masses - Differential ... Lymphoma - Focal Pancreatitis ... DrJonnys #Solid #Pancreatic ... #Masses #Differential
Causes of Increased Amylase (Hyperamylasemia)
Increased serum amylase is not always due to pancreatitis. Here are some
Causes of Increased ... always due to pancreatitis ... are some other causes ... • Pancreatic: ... Pancreatitis, Pseudocyst
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
postoperative, chronic pancreatitis ... ), SOD, Sump syndrome ... : • Pancreatic ... Recurrent acute pancreatitis ... , Chronic pancreatitis
General algorithm for the management of inflammatory pancreatic fluid collections. 

ANC, acute necrotic collection; APFC, acute
of inflammatory pancreatic ... collection; VARD, video-assisted ... debridement; AP, acute pancreatitis ... walled-off-necrosis #pancreatic
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Pancreatic Cyst ... EUS Features of low ... risk: No symptoms caused ... risk: Symptoms caused ... duct #Pancreatic
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... imaging: Chronic pancreatitis ... atrophy, Acute pancreatitis ... Irritable bowel syndrome ... fecal #elastase #low