The “Step-Up” Approach in the Treatment of Patients with Severe Acute Pancreatitis

The aim was to improve treatment outcomes in patients with necrotizing pancreatitis through accurate topographic diagnosis of the pathological process and the selection of the optimal, personalized treatment strategy (depending on the disease phase), with a focus on minimally invasive treatment methods.

Material and Methods A retrospective analysis was conducted on the treatment outcomes of 328 patients with necrotizing pancreatitis who were admitted to the surgical department of the S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center from 2021 to 2024.

Conclusion The use of minimally invasive techniques within the framework of the “step-up” approach is an effective method in the treatment of patients with severe acute pancreatitis, which allows for a reduction in the number of postoperative complications as well as in the aggressiveness of surgical interventions.

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