Thomson, John-EdwinVan Dijk, Sven M.Brand, MartinVan Santvoort, Hjalmar C.Besselink, Marc G.2018-10-092018-10-092018-05Thomson, J.-E., Van Dijk, S.M., Brand, M. et al. 2018, 'Managing infected pancreatic necrosis', Chirurgia, vol. 113, no. 3, pp. 291-299.1221-911810.21614/chirurgia.113.3.291http://hdl.handle.net/2263/66795Managementul necrozei pancreatice infectate a început cu necrozecto-mia deschisă precoce, asociată cu o mortalitate semnificativă. În ultimii ani, a avut loc o transformare bazată pe dovezi înspre abordarea progresivă constând în drenajul percutan urmat de necrozectomia minim invazivă dacă este necesar. Mai recent, abordarea endoscopică progresivă a câştigat popularitate. Aceast articol evaluează diagnos-ticul, prevenirea şi tratamentul necrozei pancreatice infectate.The management of infected pancreatic necrosis has historically been based on early, open necro-sectomy, associated with significant mortality. In recent years, an evidence based transformation has occurred towards the step-up approach consisting of percutaneous catheter drainage, if neces-sary, followed by minimally invasive necrosectomy. More recently the endoscopic step-up approach has gained popularity. This review evaluates the diagnosis, prevention and treatment of infected necrotizing pancreatitis.en© CelsiusPancreatitaNecroza pancreatica infectataNecrozectomiePancreatitisInfected pancreatic necrosisNecrosectomyArticle