Review
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2016; 22(34): 7708-7717
Published online Sep 14, 2016. doi: 10.3748/wjg.v22.i34.7708
Management of patients after recovering from acute severe biliary pancreatitis
Georgia Dedemadi, Manolis Nikolopoulos, Ioannis Kalaitzopoulos, George Sgourakis
Georgia Dedemadi, Manolis Nikolopoulos, Ioannis Kalaitzopoulos, Department of Surgery, Sismanoglio-Amalia Fleming Hospital, Melissia, 15127 Athens, Greece
George Sgourakis, Department of Surgery, Furness General Hospital, Dalton Lane, Barrow-in-Furness, Cumbria LA14 4LF, United Kingdom
Author contributions: Dedemadi G, Nikolopoulos M and Sgourakis G designed the research, wrote the paper, and contributed critical revision; Dedemadi G, Nikolopoulos M and Kalaitzopoulos I analyzed and interpreted the data, and drafted the paper; all authors approved the final version.
Conflict-of-interest statement: The authors have no conflict of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Georgia Dedemadi, MD, PhD, FACS, Department of Surgery, Sismanoglio-Amalia Fleming Hospital, 14, 25th Martiou str, Melissia, 15127 Athens, Greece. gdedemadi@gmail.com
Telephone: +30-210-6033361 Fax: +30-210-6033361
Received: March 26, 2016
Peer-review started: March 27, 2016
First decision: May 12, 2016
Revised: June 7, 2016
Accepted: June 15, 2016
Article in press: June 15, 2016
Published online: September 14, 2016
Processing time: 165 Days and 13.5 Hours
Core Tip

Core tip: There is a paucity of data as to which of the following treatment options, including cholecystectomy, endoscopic retrograde cholangiopancreatography and sphincterotomy, drainage techniques for fluid collections and pseudocysts, or no definitive treatment, is the optimal for patients after recovering from an acute episode of severe biliary pancreatitis. The complexity of pancreatitis regarding its course, patient’s performance status, and the variety of available interventions should be taken into consideration, raising the need for multidisciplinary management and individualization of every case.