Does pancreatitis require surgery?
Disease description:
My father suddenly developed pancreatitis, and the whole family is very anxious. We've heard that this condition can be quite serious, and we're very concerned. We'd like to ask: is surgery required for pancreatitis? Under what circumstances is surgical treatment necessary?
Doctor's answer (1)
Dr. Gao Jun
Whether surgery is needed for pancreatitis depends on the type and severity of the condition. Mild acute pancreatitis may not require immediate surgery, while severe acute pancreatitis or chronic pancreatitis may necessitate surgical intervention. Detailed explanations are as follows:
For mild acute pancreatitis, the inflammation can usually be controlled and symptoms relieved through conservative treatments such as fasting, fluid replacement, and medications to inhibit pancreatic secretion, without the need for surgery.
However, if the condition is severe acute pancreatitis complicated by pancreatic necrosis with infection, abscess formation, or serious complications such as intestinal perforation or massive bleeding, surgical intervention becomes necessary. Procedures such as debridement and drainage can help remove necrotic tissue, control infection, and reduce the risk of death. For patients with chronic pancreatitis, surgery may be considered if issues such as pancreatic duct stones or strictures are causing recurrent abdominal pain that significantly affects quality of life.
Once diagnosed with pancreatitis, it is important to cooperate actively with your doctor to complete necessary examinations, determine the severity of the disease, and develop an appropriate treatment plan. During conservative treatment, strictly follow medical advice regarding fasting and gastrointestinal decompression. When the condition improves, gradually resume eating according to the doctor's instructions. If surgery is required, proper wound care should be taken postoperatively to prevent infection.
