The authors highlight the increased incidence of acute pancreatitis with the part of severe forms which still have high mortality. In the chapter „Methods“ they present their treatment algorithm for acute pancreatitis with emphasis on its severe forms. The authors particularly accent the medical collaboration with intensivists and other specialists (from the area of nephrology, haematology, gastroenterology and cardiology). The condition for the achievement of good treatment results in severe forms of acute pancreatitis is strong interdisciplinary collaboration and the use of advanced treatment methods. The authors gained their experience during 3.5 years in 37 patients in whom the diagnosis of pancreatic necrosis was confirmed. 19 patients were admitted to the intensive care unit. 13 patients (68%) required ventilatory support and 6 patients (31%) required hemodialysis. The total mortality in the group of 37 patients with severe acute pancreatitis was 29.73%. The adverse prognosis can be improved only by precise and intensive medical collaboration.

        Key words: necrotic pancreatitis – surgical treatment – active approach – interdisciplinary collaboration