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E2489. Multidisciplinary Management of Necrotizing Pancreatitis: What the Abdominal Interventional Radiologist Needs to Know
Authors
  1. Ravi Gottumukkala; Brigham and Women's Hospital
  2. Raul Uppot; Massachusetts General Hospital
  3. Fateh Bazerbachi; Massachusetts General Hospital
  4. Peter Fagenholz; Massachusetts General Hospital
  5. Avinash Kambadakone; Massachusetts General Hospital
Background
The management paradigm for necrotizing pancreatitis has rapidly evolved over the past decade, with considerable reduction in associated mortality. Best practice for achieving effective source control for infected pancreatic/peripancreatic necrosis requires a concerted effort involving interventional radiologists, minimally invasive surgeons, and interventional endoscopists.

Educational Goals / Teaching Points
This clinically oriented exhibit aims to 1) Provide an overview of the current classification and terminology for acute pancreatitis, 2) Discuss the principles surrounding multidisciplinary interventions for necrotizing pancreatitis, 3) Provide technical guidance for percutaneous drainage of walled-off pancreatic necrosis.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Overview of the phases, subtypes, and imaging classification for acute pancreatitis, according to the revised Atlanta classification Discussion of management principles and supporting literature for percutaneous, surgical, and endoscopic interventions for walled-off pancreatic necrosis Illustration of technical principles for large-bore percutaneous catheter drainage of walled-off pancreatic necrosis

Conclusion
The abdominal interventional radiologist must understand the evolving multidisciplinary paradigm for management of necrotizing pancreatitis as well as percutaneous drainage principles that make drainage of walled-off pancreatic necrosis uniquely challenging compared to other abdominopelvic collections.