Duodenum preserving pancreatic head resection (Beger procedure) for pancreatic trauma

Stumpe pancreasskader hos barn

“…If there is a need for distal pancreatic resection in a stable patient with an intact spleen, spleen-preserving surgery should be performed. Interventions such as a pancreaticoduodenectomy (the Whippel procedure), central pancreaticojejunostomy, distal Roux-en-Y pancreaticojejunostomy (17) or a duodenum-preserving pancreatic head resection are described (39), but rarely indicated except in cases of extremely severe injury to the pancreatic head. There is a greater tendency to perform surgery on children with multiple injuries, and in such cases splenectomy is the most frequently performed simultaneous procedure (21).…”