A 45-year-old man with acute pancreatitis (AP) was in his eighth day of hospitalization with persistent abdominal pain and fever. A contrast-enhanced abdominal computerized tomography scan showed greater than 50% of the gland was nonenhancing, consistent with pancreatic necrosis. In this patient, what is the role of prophylactic antibiotics, fine needle aspiration of the pancreatic necrosis, nutritional support, and debridement/necrosectomy by surgical or endoscopic route? Read the optimal management based on published guidelines.
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