Controversies in the management of acute pancreatitis: An update

Table 8 Indications of drainage of collection in acute pancreatitis

Clinical suspicion or documented infected pancreatic collection

Presence of gas in the fluid collection on imaging

Systemic signs of infections

Increasing leucocytes and worsening clinical condition

Persistent or new onset organ failure

Pressure symptoms

Gastric outlet obstruction

Intestinal obstruction

Biliary obstruction

Persistent symptoms (e.g., pain, persistent unwellness)

Disconnected pancreatic duct (i.e. full transection of the pancreatic duct) with ongoing symptoms