关键词: 感染坏死性胰腺炎, 多学科综合治疗协作组, 重症急性胰腺炎, 坏死性胰腺炎

Abstract:

From "step-up" to "step-jump": Leapfrog therapy of infected necrotizing pancreatitis        MIAO Yi, HUANG Dong-ya, LI Qiang, et al. Department of Pancreas Center, First Affiliated Hospital with Nanjing Medical University, Nanjing 210029，China
Corresponding author：MIAO Yi.  E-mail：miaoyi@njmu.edu.cn
Abstract    "Step up" approach is one of the important treatment approaches of contemporary infected necrotizing pancreatitis (INP), which benefits some patients. However, due to the complexity and frequent changes of INP, the same method should not be used in the treatment of INP, but targeted treatment should be adopted according to the specific situation of patients. For some patients who are bound to need surgical intervention, surgeons should leapfrog the traditional "step-up" sequential treatment procedure, and adopt the "step-jump" strategy to intervene patients in advance. Surgeons should classify the actual situation of patients and construct clinical prediction model of different intervention methods of INP, so as to carry out more accurate classification treatment. The highly integrated multidisciplinary team overcomes the limitations of specialized treatment. The future development direction of INP treatment is to establish a disease-centered multidisciplinary integrated technology platform.

Key words: infected necrotizing pancreatitis, multidisciplinary team, severe acute pancreatitis；necrotizing pancreatitis