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Hospital and Internal Medicine Podcast

Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?

Hospital and Internal Medicine Podcast

Gil Porat, M.D., FACP, CPT

Health & Fitness, Fitness, Science, Health & Fitness:medicine, Medicine

4.7587 Ratings

🗓️ 18 October 2021

⏱️ 10 minutes

🧾️ Download transcript

Summary

An important recently published randomized control trial provides guidance on this controversy.

Transcript

Click on a timestamp to play from that location

0:00.0

I'm

0:02.0

Phr!

0:03.0

Phr!

0:04.0

... I know it's not everybody's thing, but that band never stops providing for me. I'll tell you what,

0:39.9

it's October 18th, 2021, and that music came from October 29th, 1973, in a track just released this week.

0:51.1

It's like one of those things where if I retired tomorrow and no new

0:57.3

programs of any kind were ever made for Netflix and HBO, I still could spend the rest of my life

1:03.2

just trying to catch up with that. Same with that band, The Grateful Dead, unbelievable, always

1:09.0

putting out new stuff. Well, that's not true.

1:11.6

It's actually old stuff that sounds very new and refreshing to me.

1:15.6

But all right, on to medicine.

1:18.1

And I want to talk about a study also from this month.

1:21.2

This was from the October 7, 2021 New England Journal of Medicine.

1:26.1

And the title of the study is immediate versus postponed

1:30.6

intervention for infected necrotizing pancreatitis. So I've talked quite a bit about

1:37.6

pancreatitis. I had a whole lecture series on it and I think one of them was devoted to necrotizing

1:43.0

pancreatitis and this is just a little bit

1:45.8

more information in a scenario that's not too uncommon to see. So we see acute pancreatitis all the

1:52.0

time, right, in hospitals. And a minority of those patients, maybe like 20% will develop acute

1:59.6

necrotizing pancreatitis. And then if you're even more unlucky and have

2:04.2

pancreatic necrosis and then develop something called infected necrotizing pancreatitis, where you

2:12.2

actually have a true infection of the pancreatic necrosis, the problems and the lethality continue to compound.

...

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