Review of Therapeutic Management in Necrotizing Pancreatitis and Case Presentation at a Secondary Care Level

Acute pancreatitis (AP) is an inflammatory disease of the pancreatic parenchyma, resulting from the premature activation of pancreatic zymogens, with local and systemic repercussions. It represents one of the main causes of hospital admission for gastrointestinal pathologies, with predominant etiologies such as biliary (32-49%) and alcohol consumption (20-31%). Management depends on the severity and complications present. Although open laparotomy was historically used, minimally invasive techniques have demonstrated superiority in terms of clinical outcomes. Surgical options include open, percutaneous, laparoscopic and endoscopic necrosectomy, the selection of which depends on factors such as the availability of resources, surgical skills and the clinical condition of the patient.