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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2023; 15(3): 307-322
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.307
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.307
Surgical management of acute pancreatitis: Historical perspectives, challenges, and current management approaches
Nasser Alzerwi, Department of Surgery, Majmaah University, Riyadh 11952, Saudi Arabia
Author contributions: Alzerwi N conducted literature review, analysis, and manuscript writing.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nasser Alzerwi, MBBS, SBGS, ABGS, FSMC(HPB), Associate Professor, Department of Surgery, Majmaah University, P. O. Box 66, Al-Majmaah City, Riyadh Region, Riyadh 11952, Saudi Arabia. n.alzerwi@mu.edu.sa
Received: September 21, 2022
Peer-review started: September 21, 2022
First decision: October 21, 2022
Revised: November 19, 2022
Accepted: February 14, 2023
Article in press: February 14, 2023
Published online: March 27, 2023
Peer-review started: September 21, 2022
First decision: October 21, 2022
Revised: November 19, 2022
Accepted: February 14, 2023
Article in press: February 14, 2023
Published online: March 27, 2023
Core Tip
Core Tip: The surgical management of acute pancreatitis has evolved substantially during the last several decades. Conservative therapy is frequently more effective than surgery; nonetheless, surgical treatments are required in cases of non-responsive or complication-prone patients. Such cases may be treated using endoscopic, percutaneous, or open procedures, each with its own set of benefits and risks. Before settling on an acceptable surgical procedure, the AP severity, phase, and anatomical restrictions must be thoroughly reviewed for optimal clinical outcomes.