Complications - Necrosectomy and continuous closed irrigation in infected hemorrhagic-necrotizing pancreatitis

Local:

Early

• Acute fluid collection
• Acute collection with necrosis
• Intestinal necrosis
• Splenic vein thrombosis
• Gastric emptying disorder

Late

• Septic erosion bleeding
• Pseudocyst
• Walled off necrosis (encapsulated collection of liquefied pancreatic necrosis, formerly pancreatic abscess!)

Systemic:

Early

• Renal failure
• Circulatory failure

Late

Depending on the extent of necrosis and etiology of acute pancreatitis

• Exocrine insufficiency 10 -90%
• Endocrine insufficiency 10-60 %

• Induction of bleeding
• Resection of functional tissue

• Pancreatic fistula 13%
• Local bleeding
• Persistent sepsis
• Late abscesses 5%
• Incisional hernia 2-20%
• Exocrine and endocrine pancreatic insufficiency 25-33%
• Gastric outlet obstruction
• Gastrointestinal fistulas 2-5%
• Biliary strictures 5-6%
• Pseudocysts 8-10%