{"id":4842,"date":"2010-12-19T01:32:51","date_gmt":"2010-12-19T06:32:51","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=4842"},"modified":"2013-03-07T15:29:54","modified_gmt":"2013-03-07T20:29:54","slug":"pancreatic-necrosis","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2010\/12\/pancreatic-necrosis\/","title":{"rendered":"Pancreatic Necrosis"},"content":{"rendered":"
The key determinant in deciding when to operate in the setting of necrosis of the pancreas is the presence or absence of infection in the necrotic pancreas bed.<\/p>\n
Generally, it is advised to do a fine-needle aspiration to determine if bacteria are present. The presence of air in the pancreas on CT scan suggests infection, but this must be confirmed before laparotomy.<\/p>\n
Conversely, the absence of air does not rule out infection.<\/p>\n