Abstract
Pancreatic trauma occurs in 0.2% of patients with blunt trauma and 1-12% of patients with penetrating trauma. Traumatic pancreatic injuries are characterised by high morbidity and mortality, which further increase with delayed diagnoses. The diagnosis of pancreatic trauma is challenging. Signs and symptoms can be non-specific or even absent. A critical review of studies reporting the management and outcomes of pancreatic trauma was performed. The management of pancreatic trauma depends on the haemodynamic stability of the patient, the degree and location of parenchymal injury, the integrity of the main pancreatic duct, and the associated injuries to other organs. Nevertheless, the involvement of the main pancreatic duct is the most important predictive factor of the outcome. The majority of pancreatic traumas are managed by medical treatment (parenteral nutrition, antibiotic therapy and somatostatin analogues), haemostasis, debridement of devitalised tissue and closed external drainage. If a proximal duct injury is diagnosed, endoscopic transpapillary stent insertion can be a viable option, while surgical resection by pancreaticoduodenectomy is restricted to an extremely small number of selected cases. Injuries of the distal pa...Continue Reading
References
Dec 1, 1989·American Journal of Surgery·M A MansourF A Moore
Aug 1, 1985·The Journal of Trauma·D R SmegoL M Flint
Sep 24, 1999·Radiologic Clinics of North America·K L McKenney
Jun 29, 2001·The Journal of Trauma·T G Canty, D Weinman
Jun 21, 2002·Surgery·H Ramesh
Aug 6, 2003·Digestive Surgery·Attila OláhRoland Makay
Jun 10, 2004·The Journal of Trauma·Being-Chuan LinJung-Liang Kao
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Oct 24, 2006·ANZ Journal of Surgery·Maria A JohnsonRajagopal Surendran
Apr 24, 2007·Journal of Pediatric Surgery·Jason C FisherJohn A Chabot
Dec 7, 2007·The Surgical Clinics of North America·Anuradha SubramanianDavid V Feliciano
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Gabriel C OniscuO James Garden
Feb 24, 2009·Journal of Pediatric Surgery·Mehrdad NikfarjamTodd Ponsky
Apr 28, 2009·Emergency Radiology·Satinder RekhiJorge A Soto
May 28, 2011·Journal of Pediatric Surgery·Richard HermanPeter F Ehlrich
Jun 21, 2011·Journal of Pediatric Surgery·Michael D Paul, David P Mooney
Oct 12, 2011·Current Opinion in Critical Care·Mason Fisher, Karen Brasel
Sep 12, 2012·International Journal of Surgery Case Reports·M VitiC D'Urbano
Mar 14, 2013·Acta Radiologica·Lucas L GeyerStefan Wirth
Apr 23, 2013·Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation·Lileswar KamanRajinder Singh
May 4, 2013·The British Journal of Surgery·C IaconoA Guglielmi
May 25, 2013·Journal of Pediatric Surgery·Alana L BeresMary E Brindle
Jul 23, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Elizaveta Ragulin-CoyneJennifer F Tseng
Oct 15, 2013·World Journal of Surgery·Gwendolyn M van der WildenGeorge C Velmahos
Nov 28, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Kun-Lin XieHong Wu
May 21, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jake E KrigePradeep H Navsaria
Mar 1, 2015·Injury·J E J KrigeP H Navsaria
Jul 26, 2015·Surgery·Matthew J PommereningBryan A Cotton
Citations
Aug 3, 2016·Cirugía española·Patrizio PetroneCorrado P Marini
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Nickolas ByrgeRam Nirula
Dec 24, 2019·World Journal of Emergency Surgery : WJES·Federico CoccoliniUNKNOWN WSES-AAST Expert Panel
Jul 14, 2019·BMC Surgery·Bingqing DuNengwen Ke
Mar 20, 2020·Surgical Case Reports·Kosuke OnoToshio Noriyuki
Dec 7, 2020·Journal of Hepato-biliary-pancreatic Sciences·Yasuhisa AndoYasuyuki Suzuki
Nov 11, 2019·International Journal of Surgery Case Reports·Francesco SerraRoberta Gelmini
Oct 17, 2020·The Journal of International Medical Research·Yuichi AokiNaohiro Sata
Jun 22, 2021·Surgical Infections·Ren HuajianRen Jianan