Septic pancreas necrosis: is it an absolute or a relative indication for surgery?

Aims: In the last years the absolute indication for surgery in septic necrosis became to be questionable. It is not well defined when operate if the infection of the necrosis is certified. Authors analyse the treatment and results of 137 patients with severe acute pancreatitis and try to find the answer for this questions. Patients and methods: The authors used nasojejunal feeding, Imipenem-Cilastatin antibiotics, percutaneous peripancreatic drainage if needed and postponed operation in the 137 patients (93 male, 44 female, mean ages of 45.6 years) classified as severe acute pancreatitis by Atlanta classificatio…