Pancreatic Trauma Revisited

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Anuradha Subramanian, David V Feliciano

Abstract

Pancreatic trauma is rare with an incidence between one and two percent in patients with abdominal trauma. Morbidity and mortality, however, are significant with rates approaching 40-45% in some reports. The majority of patients with injuries to the pancreas have associated trauma to other organs which are primarily responsible for the high mortality rate. The continuity of the main pancreatic duct is the most important determinant of outcome after injury to the pancreas. If there is no evidence of ductal injury on fine-cut CT or on ERCP, nonoperative management is chosen. The indications for operative management are as follows: (1) peritonitis on physical examination; (2) hypotension and a positive FAST; and (3) evidence of disruption of the pancreatic duct on fine-cut CT or on ERCP. After exposure and evaluation of the extent of injuries to the pancreas and duodenum, a decision must be made on the procedure. For pancreatic contusions, hematomas, or small lacerations, simple external drainage or pancreatorrhaphy with drainage can be performed. For ductal transection at the neck, body, or tail, the procedure of choice is a distal pancreatectomy or Roux-en-Y distal pancreatojejunostomy. If the patient has suffered a ductal trans...Continue Reading

References

May 1, 1979·The Journal of Trauma·H H Stone, T C Fabian
Dec 1, 1977·American Journal of Surgery·G D VaughanG L Jordan
Dec 1, 1985·American Journal of Surgery·R C Jones
May 1, 1974·American Journal of Surgery·C J BerneA E Yellin
May 1, 1968·Archives of Surgery·C J BerneW E Hagen
May 1, 1983·Archives of Surgery·T D MartinG L Jordan
Dec 4, 2003·Journal of the American College of Surgeons·Juan A AsensioDemetrios Demetriades
Jun 10, 2004·The Journal of Trauma·Being-Chuan LinJung-Liang Kao
Jun 24, 2005·ANZ Journal of Surgery·Matthew J F X RickardPeter C Bautz
Mar 15, 2006·American Journal of Surgery·Ines BuccimazzaDamian L Clarke

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Citations

Sep 12, 2012·International Journal of Surgery Case Reports·M VitiC D'Urbano
Nov 10, 2009·Journal of Surgical Education·Jonathan B LundyArthur B Chasen
Feb 2, 2010·Journal of the American College of Surgeons·Patrice R Carter, Vijay K Maker
Jul 16, 2015·American Journal of Respiratory and Critical Care Medicine·Michael W WandlingAnkit Bharat
Feb 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ari Leppäniemi

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