Acute Necrostising Pancreatitics

Advanced Critical & Surgical Care for Life-Threatening Pancreatic Inflammation

Overview

Acute Necrotising Pancreatitis (ANP) is a severe, life-threatening form of pancreatitis in which parts of the pancreas and surrounding tissues die (necrotize) due to inflammation and lack of blood supply. This condition often requires intensive care, multi-disciplinary management, and sometimes surgical or minimally invasive intervention to remove dead tissue and control infection.

Causes

• Gallstones blocking the bile duct
• Excessive alcohol consumption
• High triglyceride levels
• Certain medications or infections
• Abdominal trauma or post-surgical complications
• Autoimmune or idiopathic (unknown causes)

Symptoms

• Sudden, intense upper abdominal pain (often radiating to the back)
• Persistent vomiting and nausea
• Abdominal bloating or tenderness
• Fever, chills (indicating infection)
• Rapid heartbeat and low blood pressure
• Jaundice (yellowing of the eyes/skin)
• Signs of systemic shock or organ failure in advanced cases

Diagnosis

Diagnosis is made through a combination of clinical evaluation, imaging, and laboratory tests.

• Blood tests: Elevated amylase/lipase, WBC, CRP
• Contrast-enhanced CT scan (CECT): Crucial to assess the extent of necrosis
• MRI / MRCP: To evaluate biliary involvement
• Ultrasound / EUS: For gallstones and fluid collections
• Procalcitonin / Blood cultures: To detect sepsis

Complications of ANP

• Infected pancreatic necrosis
• Multi-organ failure (lungs, kidneys, heart)
• Pancreatic abscess or pseudocyst formation
• Portal vein thrombosis
• Persistent systemic inflammatory response (SIRS)
• Gastrointestinal bleeding

Why Choose Us?

• MCh GI Surgery – AIIMS New Delhi with 30+ years of experience
• Expertise in critical care pancreatitis, necrosectomy, and drainage procedures
• Robotic and laparoscopic skills for minimally invasive debridement
• Multidisciplinary care with ICU, gastroenterology, and interventional radiology teams
• High survival and recovery rates through evidence-based care

Post-Recovery & Long-Term Care

• Monitoring for chronic pancreatitis or pancreatic insufficiency
• Enzyme replacement therapy if needed
• Lifestyle changes to avoid alcohol, fatty foods, and triggers
• Regular follow-up imaging and labs

Immediate, Expert Care Saves Lives in Acute Necrotising Pancreatitis

ANP is a surgical emergency that requires timely intervention and specialized care. If you or your loved one is experiencing symptoms, reach out to our pancreas care team for world-class treatment and compassionate support.