**7. Conclusion**

The majority of patients suffering from acute pancreatitis will have a mild, self-limited and uncomplicated course. Local and systemic complications, mild or life-threatening, such as pancreatic and/or peripancreatic fluid collections, walledoff necrosis, infected pancreatic necrosis, disconnected pancreatic duct syndrome and vascular complications can occur.

The successful management of these patients needs a multidisciplinary team composed by gastroenterologists, surgeons, interventional radiologists, and specialists in critical care medicine, infectious disease, and nutrition. However, it must be considered that the requisite technical expertise and judgment for many of these procedures is not widely available in all centres. Intervention is generally required for infected pancreatic necrosis and less commonly in patients with sterile necrosis who are symptomatic. The surgical odyssey in managing necrotizing pancreatitis has been described. Operative approaches to the treatment of acute pancreatitis complications have undergone a dramatic transformation over the past few decades. Prospective, randomized trials have further clarified the value of the latest minimally invasive approaches to the treatment of this disease. This is the notable example of how evidence-based knowledge leads to improvement in patient care.

*Recent Advances in Pancreatitis*
