Pancreatic trauma

A simplified management guideline

Joe H. Patton, Sean P. Lyden, Martin Croce, F. Elizabeth Pritchard, Gayle Minard, Kenneth A. Kudsk, Timothy C. Fabian

Research output: Contribution to journalArticle

135 Citations (Scopus)

Abstract

Introduction: Recent literature supports a conservative trend in the management of pancreatic injuries. Contrary to this trend, some recommend defining ductal integrity by pancreatography, implying that the results alter management. This study examines our recent 5-year experience with a simplified approach to all pancreatic injuries. Methods: Retrospective analysis of patients sustaining pancreatic injuries was performed. Results: One hundred thirty-four patients were identified. Overall mortality was 13%, and pancreatic-related mortality was 2%. Analyses were based on 124 pancreatic injuries among patients who survived >12 hours. Thirty-seven proximal injuries were treated with drainage alone, with a pancreatic morbidity of 11%. Eighty-seven distal pancreatic injuries occurred, 54 with indeterminate ductal status. Twenty-four had high probability for duct injury and were treated by distal resection; 30 with a low probability of ductal injury were drained. Pancreatic morbidity was not different between these groups. Conclusions: Pancreatic injuries including those with indeterminate ductal status can be successfully managed with low morbidity and mortality using this simplified management protocol.

Original languageEnglish (US)
Pages (from-to)234-241
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume43
Issue number2
DOIs
StatePublished - Aug 1997

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Guidelines
Wounds and Injuries
Morbidity
Mortality
Drainage

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Patton, J. H., Lyden, S. P., Croce, M., Pritchard, F. E., Minard, G., Kudsk, K. A., & Fabian, T. C. (1997). Pancreatic trauma: A simplified management guideline. Journal of Trauma - Injury, Infection and Critical Care, 43(2), 234-241. https://doi.org/10.1097/00005373-199708000-00005

Pancreatic trauma : A simplified management guideline. / Patton, Joe H.; Lyden, Sean P.; Croce, Martin; Pritchard, F. Elizabeth; Minard, Gayle; Kudsk, Kenneth A.; Fabian, Timothy C.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 43, No. 2, 08.1997, p. 234-241.

Research output: Contribution to journalArticle

Patton, JH, Lyden, SP, Croce, M, Pritchard, FE, Minard, G, Kudsk, KA & Fabian, TC 1997, 'Pancreatic trauma: A simplified management guideline', Journal of Trauma - Injury, Infection and Critical Care, vol. 43, no. 2, pp. 234-241. https://doi.org/10.1097/00005373-199708000-00005
Patton, Joe H. ; Lyden, Sean P. ; Croce, Martin ; Pritchard, F. Elizabeth ; Minard, Gayle ; Kudsk, Kenneth A. ; Fabian, Timothy C. / Pancreatic trauma : A simplified management guideline. In: Journal of Trauma - Injury, Infection and Critical Care. 1997 ; Vol. 43, No. 2. pp. 234-241.
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