Isolated pancreatic injuries: An analysis of 49 consecutive patients treated at a Level 1 Trauma Centre

Abstract

While overall mortality is low after an IPI, morbidity is high. Two thirds of patients required operative intervention and one third were treated endoscopically. The degree of pancreatic ductal injury determined whether endoscopic intervention was effective.

Conservative and surgical management of pancreatic trauma in adult patients

“…The pancreas is an organ located deep in the abdominal cavity, whose anatomical relationship with the digestive and vascular structures (1)(2)(3)(4) explains the complexity and severity of pancreatic trauma which represents less than 5% of abdominal trauma (5,6). Pancreatic trauma is potentially lethal when combined with duodenal perforation or closely related arterial bleeding (2,7).…”

Emergency pancreatoduodenectomy for complex injuries of the pancreas and duodenum

“…1,2 Previous reports indicate that outcome is determined by the complexity and site of the pancreatic injury, the number, extent, and magnitude of the associated injuries, the amount of blood loss and duration of shock, the rapidity and efficacy of resuscitation, and the speed and quality of surgical intervention. [2][3][4][5][6][7] Overall morbidity rates for maximal pancreatoduodenal injuries are substantial and mortality is directly proportional to the number of injuries sustained and is highest in the elderly and those who are haemodynamically unstable. 8 Early mortality is due either to uncontrolled venous bleeding or major adjacent organ injuries.…”

Damage control laparotomy and delayed pancreatoduodenectomy for complex combined pancreatoduodenal and venous injuries

“…The study used a registered departmental database which documents the details of all patients with pancreatic injuries treated at the Level 1 Trauma Centre and the Hepatopancreatobiliary and Surgical Gastroenterology units at Groote Schuur Hospital, Cape Town. Other aspects of pancreatic injury management using this database have been published previously [1,9,11]. Approval for this study was granted by the institutional review board at the University of Cape Town Health Sciences Faculty.…”

“…Early mortality is due either to uncontrolled venous bleeding or major adjacent organ injuries [7,8]. Late mortality is usually a consequence of infection or multiple organ failure [9][10][11].…”