Endoscopic management for pancreatic injuries due to blunt abdominal trauma decreases failure of nonoperative management and incidence of pancreatic-related complications

Predictors of successful non-operative management of grade III & IV blunt pancreatic trauma

“…Surrounding organ injuries are noted in greater than 50% of the patients [1], [2], [3], [4], [5], [6]. The topography of pancreas in the retroperitoneal pocket surrounded by stomach, duodenum, spleen, and colon predisposes to the high incidence of associated injuries [15], [16], [17], [18]. In our series pancreatic injuries complicated 6.9% of all blunt abdominal trauma (72/634) with 61% having associated organ injuries.…”

Epidemiological state, predictive model for mortality, and optimal management strategy for pancreatic injury: A multicentre nationwide cohort study

“…Previous studies have shown that endoscopic management including pancreatic transpapillary pancreatic duct stenting and sphincterotomy reduces the need for surgery for pancreatic injury by blocking the leaking duct, allowing drainage of pancreatic juice into duodenum, and reducing the inflammatory consequences of extravasation [30,31]. Even in the patients with partial duct disruption, successful non-operative treatment with endoscopic management has been reported [32]. Considering the high availability of endoscopic management in Japan, this may be among the reasons of successful non-operative management in patients with pancreatic injury in the present study.…”

A Case of Traumatic Rupture of the Pancreas. Combined Surgical and Endoscopic Management

“…In any case when interruption of integrity of the pancreatic duct is suspected, ERCP is recommended; its advantages include both diagnostic and therapeutic aspects, precise assessment of injuries of the pancreatic duct (tab. 1) and effective endoscopic management of interrupted integrity of the duct of Wirsung, avoiding disabling extensive procedure (8)(9)(10).…”