Pancreatic Injuries in the United Arab Emirates

Ahmad, Irfan; Branicki, Frank J.; Ramadhan, K.; El-Ashaal, Yousef; Abu‐Zidan, Fikri M.

doi:10.1177/145749690809700307

Cited by 15 publications

(10 citation statements)

References 32 publications

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“…Since pancreatic injuries are commonly accompanied by injuries in the stomach, vascular structure and liver, the fi ndings of other organ injuries become prominent and thus pancreatic injury is only diagnosed during laparotomy. As with the isolated pancreatic injuries, the retroperitoneal localization of the organ causes delayed symptoms and fi ndings, causing a diffi culty with diagnosis (7,10).…”

Section: Discussionmentioning

confidence: 99%

Blunt trauma – related isolated pancreatic injury

Önder¹,

Kapan²,

Tekbaş³

et al. 2013

BLL

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Background: Pancreatic injuries arising from blunt trauma are rarely seen. Diagnosis and treatment are diffi cult because of retroperitoneal localization of the organ. We present four pancreatic cases with isolated pancreatic injury due to blunt abdominal trauma. Methods: This retrospective study included four pancreatic patients who were operated on due to isolated injury caused by blunt abdominal trauma at our department between January 2004 and October 2010. Results: The patients consisted of three males and one female. One of them was in stage IV and the rest were in stage III. All underwent pancreaticojejunostomy, distal pancreatectomy, distal pancreatectomy + splenectomy and drainage, respectively. Fistula developed in two of them, and abscess developed in one, while the other one died. Conclusion: Diagnosis may be delayed since the clinical condition is initially stable. Tomography remains one of the most important diagnostic tools. Common risk factors for morbidity and mortality are the presence of ductal injury and delayed laparotomy (Tab. 1, Fig. 4, Ref. 22).

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Section: Discussionmentioning

confidence: 99%

Blunt trauma – related isolated pancreatic injury

Önder¹,

Kapan²,

Tekbaş³

et al. 2013

BLL

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“…Ahmed ve ark. (10) gerek penetran gerekse de künt travmaya bağlı pankreas yaralanmalarını inceledikleri çalışmalarında olguların penetran travmaya künt travmadan 4 kat daha fazla maruz kaldıklarını rapor etmişlerdir. Çalışmamızda olguların %52.8'sinin penetran karın travmasına maruz kaldığını saptadık.…”

Section: Discussionunclassified

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

Acar¹,

Baydın²,

Yardan³

2012

JAEM

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Objective:We aimed to investigate the demographical features, clinical and laboratory findings, treatment, rates of mortality of patients above 16 years admitted to emergency department with isolated abdominal trauma and who contribute to our country's literature. Material and Methods: This study involves 106 adult patients admitted to the emergency service of our hospital with isolated abdominal trauma between January 2005 and 2009. Data collected from files were loaded to the SPSS 15.0 computer programme. For continuous data in comparison of groups, Mann-Whitney U test; and for discontinuous data Chi-Square test was performed. Results: 79% of abdominal trauma patients were male and median age was 31. The most frequent mechanism of injury was penetrating trauma. The most frequent etiology was motor vehicle accident. We determined that 76.4% of patients were admitted in the first 3 hours. The most common complaint was abdominal pain, and rebound was observed in 20.8% of cases. We observed that 22.6% of the patients were hypotensive and, of those hypotensive patients, 91.7% underwent surgery. 45.3% of cases had erythrocyte therapy replacement and those who had 2 units and more replacement requirement had a higher probability of undergoing surgery (p<0.05). Conclusion: The main cause of abdominal trauma is motor vehicle accidents and a systolic blood pressure less than 90 mmHg increases the possibility of surgical treatment. (JAEM 2012; 11: 216-22) Özet Amaç: İzole karın travması nedeniyle acil servise başvuran 16 yaş ve üzerindeki erişkin olguların; demografik özelliklerini, karın travmalarının klinik ve laboratuar bulgularını, tedavilerini, mortalite oranlarını incelemeyi ve bu konuda ülkemizdeki literatüre katkıda bulunmayı amaçladık. Gereç ve Yöntemler: Bu Çalışma Ocak 2005-2009 tarihleri arasında hastanemiz acil servisine izole karın travması nedeniyle başvuran erişkin 106 hastayı kapsamaktadır. Hastaların dosyalarından elde edilen veriler SPSS 15.0 bilgisayar programına yüklendi. Gruplar arasındaki karşılaştırmalarda sürekli veriler için Mann-Whitney U testi, kesikli veriler için ki kare testi uygulanmıştır. Bulgular: Karın travmalı olguların %79.2'si erkekti ve yaş ortancası 31 idi. Karın travması oluş mekanizması açısından incelendiğinde en sık penetran travmanın (%52.8), nedeni açısından bakıldığında ise en sık trafik kazalarının (%35.8) görüldüğü saptandı. Olguların %76.4'ünün ilk 3 saat içinde acil servise başvurduğu, başvuru anında en sık şikayetin karın ağrısı olduğu ve fizik muayenede olguların %20.8'inde rebound tespit edildiği görüldü. Olguların %22.6'nın hipotansif olduğu ve bu hipotansif hastaların %91.7'sinin cerrahi olarak tedavi edildiği görüldü. Olguların %45.3'üne eritrosit replasmanı yapılırken, 2 ünite ve üzerinde eritrosit replasmanı ihtiyacı olanların cerrahiye girme olasılığının arttığı gözlemlendi (p<0.05). Sonuç: Karın travmalarına en sık trafik kazaları neden olmakta ve hastaların acil servise başvuru anındaki sistolik kan basıncının 90 mmHg'dan düşük olması cerrahi tedavi olasılığı...

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“…Various options are distal pancreatectomy with splenectomy [2, 23-25], distal pancreatectomy with splenic preservation [1], anastomosis of the duct with salvage of the whole organ [26], primary repair of the pancreas and pancreatic duct [7, 27], pancreas preserving Roux-en-Y pancreaticojejunostomy or pancreaticogastrostomy to distal segment [12, 15, 28], and endoscopic transpapillary stent insertion [29, 30]. Exploration and drainage alone result in fistulae, abscesses, pancreatitis, or necrosis as severe complications [18, 31].…”

Section: Discussionmentioning

confidence: 99%

Traumatic Transection of Pancreas at the Neck: Feasibility of Parenchymal Preserving Strategy

et al. 2010

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BackgroundTo assess the feasibility and safety of a pancreas preserving operative technique in the management of isolated complete pancreatic neck transection following blunt abdominal trauma.MethodsTwo patients with isolated blunt fracture of the pancreatic neck underwent pancreas preserving procedure comprising of oversewing of the proximal pancreas and Roux-en-Y pancreatico jejunostomy to the distal remnant. A feeding jejunostomy tube was placed for postoperative nutritional support in these patients. Both patients received subcutaneous octreotide 300 µg/day.ResultsTheir ages ranged from 15 years to 20 years, mode of injury was bicycle handle-bar injury (n = 2). Both had pancreatic transection at neck in the line of superior mesenteric vessels. One had ascites. These patients had pancreas parenchyma preserving surgery – internal drainage of the left remnant in a Roux-en-Y jejunal loop. The postoperative course was uneventful in these and both are well on follow-up.ConclusionsPancreas preserving strategy – suture of head side of pancreas and an internal drainage of left remnant with a Roux-en-Y jejunal loop is feasible and safe and should be considered in selected cases. Substantial amount of normal pancreatic parenchyma is preserved.

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Pancreatic Injuries in the United Arab Emirates

Cited by 15 publications

References 32 publications

Blunt trauma – related isolated pancreatic injury

Blunt trauma – related isolated pancreatic injury

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

Traumatic Transection of Pancreas at the Neck: Feasibility of Parenchymal Preserving Strategy

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