AAST grade III pancreatic injury following blunt abdominal trauma

2012 ◽  
Vol 50 (3) ◽  
Author(s):  
G L Laing ◽  
S D Jeetoo ◽  
G Oosthuizen ◽  
D Clarke
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury ◽  
Grade Iii

Pancreatic Injury from Blunt Abdominal Trauma in Childhood

2005 ◽  
Vol 105 (3) ◽  
pp. 283-286 ◽  
Author(s):  
V. Ruszinkó ◽  
P. Willner ◽  
A. Oláh
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury

Operative Intervention for Complete Pancreatic Transection in Children Sustaining Blunt Abdominal Trauma: Revisiting an Organ Salvage Technique

2011 ◽  
Vol 77 (5) ◽  
pp. 612-620 ◽  
Author(s):  
Matthew J. Borkon ◽  
Stephen E. Morrow ◽  
Elizabeth A. Koehler ◽  
Yu Shyr ◽  
Melissa A. Hilmes ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Injury Severity ◽  
Demographic Data ◽  
Operative Management ◽  
Pancreatic Injury ◽  
Pancreatic Tissue ◽  
Management Algorithm ◽  
Lengths Of Stay ◽  
Pancreatic Transection

Complete pancreatic transection (CPT) in children is managed commonly with distal pancreatectomy (DP). Alternatively, Roux-en-Y distal pancreaticojejunostomy (RYPJ) may be performed to preserve pancreatic tissue. The purpose of this study was to review our experience using either procedure in the management of children sustaining CPT after blunt abdominal trauma. We retrospectively reviewed the records of all children admitted to our institution during the last 15 years who were confirmed at operation to have CPT after blunt mechanisms. Summary statistics of demographic data were performed to describe children receiving either RYPJ or DP. CPT occurred in 28 children: 15 had DP, 10 had RYPJ, and three had cystogastrostomy. RYPJ children, compared with DP, were younger (7.5 vs 12.3 years, P = 0.039) and sustained more grade IV pancreatic injuries (70% vs 14%, P = 0.01). DP patients were 5.63 times more likely to tolerate full enteral feeds ( P = 0.009). Nevertheless, when controlling for age, injury severity score, and pancreatic injury grade, procedure type did not statistically affect total and postoperative lengths of stay and postoperative complications. In the operative management algorithm of children sustaining CPT, DP may afford an earlier return to full enteral feeds. RYPJ seems otherwise equivalent to DP and preserves significant pancreatic glandular tissue and the spleen.

scholarly journals Pancreatic injury due to blunt abdominal trauma in children

2019 ◽  
pp. 1
Author(s):  
Burhan Beger ◽  
Baran Kızılyildiz ◽  
Metin Simsek ◽  
Huseyin Akdeniz ◽  
Bulent Sonmez
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury

Primary Repair of Traumatic Complete Pancreatic Rupture

2021 ◽  
pp. 000313482110385
Author(s):  
Maria Venianaki ◽  
Despoina Ierodiakonou ◽  
Evangelia Chryssou ◽  
Emmanuel Chrysos ◽  
Georgios Chalkiadakis ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Primary Repair ◽  
Pancreatic Injury ◽  
Tissue Loss ◽  
Omental Patch ◽  
Pancreatic Injuries ◽  
Isolated Pancreatic Injury ◽  
High Level

Isolated pancreatic injury with transection of the pancreatic duct is generally treated with pancreatic resection, but the optimal management is not based on high-level evidence. Herein, we report a case of primary repair of complete rupture of the pancreas and pancreatic duct after a blunt abdominal trauma and a review of the literature. A 33-year-old patient had an isolated pancreatic injury after blunt abdominal trauma. At laparotomy, an even transection was found with minimal necrosis and tissue loss and an end-to-end anastomosis of the duct and the parenchyma with omental patch was performed. Patient’s postoperative course was complicated by a 6 cm pseudocyst and a low output pancreatic fistula which did not require any intervention and were self-limited. In the literature, 17 cases with primary repair of similar grade IV pancreatic injuries have been reported. Postoperative complications included mostly fistulas and pseudocysts.

Management of pancreatic injury in pediatric blunt abdominal trauma

1999 ◽  
Vol 34 (5) ◽  
pp. 818-824 ◽  
Author(s):  
Michael A. Jobst ◽  
Timothy G. Canty ◽  
Frank P. Lynch
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury

Isolated pancreatic injury following blunt abdominal trauma in a child

2007 ◽  
Vol 11 (2) ◽  
pp. 96-98 ◽  
Author(s):  
Sandeep Jain ◽  
Parag Telang ◽  
M.A. Joshi ◽  
Sandhya Prabhakar
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury ◽  
Isolated Pancreatic Injury

Diagnosis of pancreatic injury after blunt abdominal trauma

1996 ◽  
Vol 17 (2) ◽  
pp. 177-182 ◽  
Author(s):  
Michael J Lane ◽  
Robert E Mindelzun ◽  
R.Brooke Jeffrey
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Pancreatic Injury
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