<i>Operative Intervention for Complete Pancreatic Transection in Children Sustaining Blunt Abdominal Trauma: Revisiting an Organ Salvage Technique</i>

Borkon, Matthew J.; Morrow, Stephen E.; Koehler, Elizabeth; Shyr, Yu; Hilmes, Melissa A.; Miller, Richard S.; Neblett, Wallace W.; Lovvorn, Harold N.

doi:10.1177/000313481107700523

Cited by 16 publications

(4 citation statements)

References 32 publications

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“…Pancreatic trauma reportedly accounts for 0.2% of all types of trauma and 5%-7% of abdominal trauma, with trauma-related organ damage being extremely rare [1,2]. Thus, very few detailed reports exist on the long-term outcomes of pancreatic trauma, particularly in terms of functional outcomes, such as endocrine and exocrine function.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of Pancreatic Function Following Pancreatic Trauma

et al. 2016

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The objective of this study is to retrospectively assess long-term outcomes and late complications of pancreatic trauma. We studied 14 patients with pancreatic trauma who were treated at the Advanced Emergency Medical Service Center, Kurume University Hospital, between 1981 and 2012 and discharged alive. Relevant data were extracted from patient records and a retrospective patient questionnaire and blood test were completed to evaluate pancreatic function. The median patient age at the time of the survey was 49 years; the median post-injury period was 23 years and 5 months. The comorbidity rates for pancreatic endocrine and exocrine dysfunctions were 35.7% and 33.3%, respectively. No new-onset diabetes mellitus (DM) was seen within 3 years of trauma, except in 1 patient who underwent pancreaticoduodenectomy. DM developed >15 years after trauma in 2 patients each in the pancreatectomy and non-pancreatectomy groups. Diarrhea exacerbated by fat intake was seen in 3 and 1 patient in the pancreatectomy and non-pancreatectomy groups, respectively. Both complications were more common in the pancreatectomy group, but without statistical significance. Although post-surgical pancreatic dysfunction may be absent at discharge, treatment for pancreatic trauma should take into account the possibility that pancreatectomy may accelerate DM onset.

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Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of Pancreatic Function Following Pancreatic Trauma

et al. 2016

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“…Regarding the Letton-Wilson procedure, there is only one case series compared with DP. It was concluded Letton-Wilson procedure seems otherwise equivalent to DP and preserves significant pancreatic glandular tissue and spleen [4]. Although, in recent years, reports have been increasingly supporting NOM for paediatric pancreatic injury [5,6], therapeutic protocols are not yet established.…”

Section: Discussionmentioning

confidence: 99%

Three cases of paediatric pancreatic injury involving the main pancreatic duct

Omura

Matsushita

Arase

et al. 2019

Trauma Case Reports

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We report on 3 patients aged 9–12 years with pancreatic injury involving the main pancreatic duct. None of them presented with shock. They were initially transported to secondary emergency care facilities, leading to delays in diagnosis and treatment. Two patients underwent organ (spleen and pancreatic tail)-preserving surgery and one underwent non-operative management (NOM). They recovered and were discharged without major complications. Although the indications for NOM for paediatric pancreatic injury might increase in the future, we believe that it is preferable for patients to be transferred to the tertiary care hospital from the very beginning to recieve appropriate diagnosis and treatment.

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“…24 In our opinion, this is the main argument for attempting primary CM in all cases. Indeed, because of the high morbidity rates, even for elective surgery, 14 we consider that surgery should be reserved for hemodynamically instable patients or patients with hollow organ injuries. Even as regards LOS, Wood et al 11 reported that though operative management significantly decreased the rate of pseudocysts it failed to reduce the initial LOS in these patients.…”

Section: Discussionmentioning

confidence: 99%