IAP Guidelines for the Surgical Management of Acute Pancreatitis

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Abstract
During 2002 the International Association of Pancreatol- ogy developed evidenced-based guidelines on the surgi- cal management of acute pancreatitis. There were 11 guidelines, 10 of which were recommendations grade B and one (the second) grade A. (1) Mild acute pancreatitis is not an indication for pancreatic surgery. (2) The use of prophylactic broad-spectrum antibiotics reduces infec- tion rates in computed tomography-proven necrotizing pancreatitis but may not improve survival. (3) Fine-nee- dle aspiration for bacteriology should be performed to differentiate between sterile and infected pancreatic ne- crosis in patients with sepsis syndrome. (4) Infected pan- creatic necrosis in patients with clinical signs and symp- toms of sepsis is an indication for intervention including surgery and radiological drainage. (5) Patients with ster- ile pancreatic necrosis (with negative fine-needle aspira- tion for bacteriology) should be managed conservatively

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