Long-term outcome after nonoperative management of complete traumatic pancreatic transection in children

Journal of Pediatric Surgery
P W WalesP C Kim

Abstract

The treatment of complete pancreatic transection (CPT) from blunt trauma remains controversial. To determine the natural history and long-term outcome of nonoperative management of CPT, we analyzed all such patients over the last 10 years at a level I trauma center. Retrospective analysis between 1990 and 1999 was performed on 10 consecutive patients. Complete records were available for 9 patients. Data pertaining to their trauma admission, plus long-term radiologic and clinical outcome were analyzed. There were 6 boys and 3 girls with a median age of 8 years (range, 4 to 16 years) and a median injury severity score (ISS) of 25. All patients displayed CPT on admission computed tomography (CT) scan. Four patients (44%) had associated intraabdominal injuries, but only 2 were significant. All patients were treated nonoperatively. Four patients (44%) had pseudocysts, and 3 required percutaneous drainage. Other complications included a single drainage of subphrenic collection, 1 inadvertent removal of drainage catheter, and 2 cases of line sepsis. The duration of percutaneous drainage was 14 to 60 days. The median length of hospitalization was 24 days (range, 6 to 52 days). After median follow up of 47 months, no patients showed exo...Continue Reading

Citations

Apr 1, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ernesto LevaLuigi Pansini
Oct 14, 2016·Acta chirurgica Belgica·Orlin BelyaevWaldemar Uhl
Apr 22, 2009·AJR. American Journal of Roentgenology·Carlos J Sivit
Oct 18, 2005·Seminars in Pediatric Surgery·Mark D Stringer
Feb 14, 2014·The Cochrane Database of Systematic Reviews·Michael V HaugaardLuit Penninga
Jun 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jorma Halttunen, Leena Kylänpää
Jun 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Konstantinos Spaniolas, George C Velmahos
Jun 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Emmanuel MasJean-Pierre Olives
May 14, 2005·Current Opinion in Pediatrics·Steven Stylianos
Aug 15, 2009·The Journal of Trauma·Barbara A Gaines
Apr 27, 2010·Pancreas·Rohan C SiriwardanaKemal I Deen
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D A PotokaA B Peitzman
Jul 30, 2014·Pediatric Surgery International·Insu KawaharaSachi Sekine
Jan 1, 2013·Pediatric Surgery International·K W RussellM D Rollins
Jul 13, 2011·Surgery Today·Baruch KlinGad Lotan
May 3, 2011·Surgery Today·Murat Kemal CigdemSelcuk Otcu
Aug 29, 2013·Pediatric Surgery International·Kosaku MaedaInsu Kawahara
Feb 9, 2017·Journal of Stroke·Jun Yup Kim, Hee-Joon Bae
Jul 7, 2017·Current Opinion in Pediatrics·Maisam Abu-El-HaijaJaimie D Nathan
Apr 27, 2018·Pediatric Emergency Care·Matthew CullyM Olivia Titus
Jan 6, 2018·Pediatric Gastroenterology, Hepatology & Nutrition·Ravi Kumar Garg, Jai Kumar Mahajan
Jul 5, 2016·Pediatric Surgery International·Bindi Naik-Mathuria
Sep 25, 2008·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·I AhmadF M Abu-Zidan
Nov 1, 2012·Korean Journal of Hepato-biliary-pancreatic Surgery·Hyeok Jo KangSang Yong Choi
Dec 12, 2018·Journal of Ultrasound·Margherita TrinciVittorio Miele
Dec 18, 2009·Southern Medical Journal·Nasim Ahmed, Jerome J Vernick
Mar 17, 2020·Pediatric Radiology·Ala IbrahimGovind B Chavhan
Sep 23, 2014·Pediatric Surgery International·Hanna AlemayehuCorey W Iqbal
Dec 18, 2009·Southern Medical Journal·Jeffrey Blatnik, Todd Ponsky
Jan 27, 2005·The British Journal of Surgery·M D Stringer
Sep 4, 2021·Pediatric Surgery International·Miki IshikawaSeiichi Hirobe

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.