Endoscopic retrograde cholangiopancreatography in pancreatic trauma

Barkin, Jamie S.; Ferstenberg, Richard; Panullo, Wayne; Manten, Howard D.; Davis, Richard A.

doi:10.1016/s0016-5107(88)71272-9

Cited by 81 publications

(27 citation statements)

References 13 publications

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“…However, there are some trauma patients in whom diagnosis of pancreatic injury is delayed, especially when patients are stable, have no indications for emergency laparotomy and CT scans are equivocal [11]. In a small prospective study, Barkin et al [12] found ERCP to be both sensitive and specific in all their patients. The major advantage of prompt endoscopy of the pancreatobiliary system is the precise determination of the degree of injury.…”

Section: Discussionmentioning

confidence: 99%

Blunt Abdominal Injury with Transection of Pancreatic Neck Detected Early by Abdominal Computed Tomography: A Case Report and Review of the Literature

Wang¹,

Hsu²,

Huang³

et al. 2006

Visc Med

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Blunt abdominal trauma resulting in injury to the pancreas is relatively rare, but carries high morbidity and mortality rates, especially when diagnosis is delayed or inappropriate surgery is attempted. Early recognition of disruption of the main pancreatic duct is important because such disruption is the principal cause of delayed complication. Abdominal CT gives the best opportunity for an immediate diagnosis. We herein report a case of transection of pancreatic neck from blunt abdominal trauma that was detected early by abdominal CT and managed by immediate distal pancreatectomy.

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Section: Discussionmentioning

confidence: 99%

Blunt Abdominal Injury with Transection of Pancreatic Neck Detected Early by Abdominal Computed Tomography: A Case Report and Review of the Literature

Wang¹,

Hsu²,

Huang³

et al. 2006

Visc Med

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“…This fact has led to the increasing use of ERCP as a diagnostic tool in patients with suspected pancreatic trauma [7,8]. Pancreatographic demonstration of ductal injury is a useful guide to operative intervention in these difficult patients, particularly when persistent pain and hyperamylasemia raise suspicion of ductal injury weeks to months after the initial injury.…”

Section: Discussionmentioning

confidence: 99%

Traumatic pancreatitis in a patient with pancreas divisum: Clinical and radiographic features

et al. 1994

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A previously healthy patient with chronic hyperamylasemia and epigastric pain following blunt abdominal trauma complicated by retroperitoneal hematoma is reported. Endoscopic retrograde cholangiopancreatographic and computerized tomographic examinations revealed pancreatographic characteristics of pancreas divisum with traumatic disruption of the duct of Santorini and adjacent pseudocyst formation. Distal pancreatectomy with cystjejunostomy resulted in total recovery. This represents the first documented case of traumatic pancreatitis in a patient with pancreas divisum.

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“…The patient remained has asymptomatic for the 3 years of follow-up. (3,(5)(6)(7)(8)(9)(10) and should be performed as soon as possible (4). However, as ERP is an invasive procedure, it is not suitable when the patient requires emergency laparotomy (3,4).…”

Section: F I G U R E 3 Ma G N E T I C R E S O N a N C E C H O L A Nmentioning

confidence: 99%

Pancreatic Injury Successfully Treated with Endoscopic Stenting for Major Pancreatic Duct Disruption

et al. 2009

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We present a 43-year-old Japanese man with major pancreatic duct disruption caused by blunt pancreatic head damage. Computed tomography (CT) revealed pancreatic head injury, and endoscopic retrograde pancreatography showed pancreatic duct disruption at the injury site along with contrast media leakage. We placed a pancreatic stent for 3 months, after which closure of the pancreatic duct fistula was confirmed. CT on the 9th hospital day showed acute pancreatic fluid collections, but these had disappeared at the 3 month follow-up CT. The patient has remained asymptomatic at follow-up for 3 years.

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Endoscopic retrograde cholangiopancreatography in pancreatic trauma

Cited by 81 publications

References 13 publications

Blunt Abdominal Injury with Transection of Pancreatic Neck Detected Early by Abdominal Computed Tomography: A Case Report and Review of the Literature

Blunt Abdominal Injury with Transection of Pancreatic Neck Detected Early by Abdominal Computed Tomography: A Case Report and Review of the Literature

Traumatic pancreatitis in a patient with pancreas divisum: Clinical and radiographic features

Pancreatic Injury Successfully Treated with Endoscopic Stenting for Major Pancreatic Duct Disruption

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