TY - JOUR T1 - Step-up approach for the management of pancreatic necrosis: a review of the literature JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2019-000308 VL - 4 IS - 1 SP - e000308 AU - Melanie Kay Sion AU - Kimberly A Davis Y1 - 2019/05/01 UR - http://tsaco.bmj.com/content/4/1/e000308.abstract N2 - Infected necrotizing pancreatitis is a challenging condition to treat because of the profound inflammatory response these patients undergo which can then be exacerbated by interventions. Treatment of this condition has evolved in timing of intervention as well as method of intervention and includes less invasive options for treatment such as percutaneous drainage and endoscopic drainage, in addition to less invasive endoscopic and video-assisted or laparoscopic debridements. The precise optimal treatment strategy for these patients is an ongoing topic of discussion and may be different for each patient as this is a heterogenous condition. ER -