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

Abe, Takashi; Nagai, Takayuki; Murakami, Kazunari; Anan, Juro; Uchida, Masahiro; Ono, Hideki; Okawara, Hitoshi; Tanahashi, Jin; Kodama, Masaaki; Fujioka, Toshio

doi:10.2169/internalmedicine.48.2331

Cited by 15 publications

(4 citation statements)

References 14 publications

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“…This case was followed by other case reports of successfully performed endoscopic treatment of blunt pancreatic injuries [33,36,49]. Further, endoscopic stent treatment on the 2nd day after blunt abdominal trauma with 3 years follow-up has been reported [50]. As regarding penetrating trauma a successful treatment of pancreatic fistula 1 month after a gunshot wound to the pancreas has been described [51].…”

Section: Discussionmentioning

confidence: 74%

Early endoscopic treatment of blunt traumatic pancreatic injury

Björnsson

Kullman

Gasslander

et al. 2015

Scandinavian Journal of Gastroenterology

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Blunt pancreatic trauma is a rare and challenging situation. In many cases, there are other associated injuries that mandate urgent operative treatment. Morbidity and mortality rates are high and complications after acute pancreatic resections are common. The diagnosis of pancreatic injuries can be difficult and often requires multimodal approach including Computed Tomography scans, Magnetic resonance imaging and Endoscopic retrograde cholangiopancreaticography (ERCP). The objective of this paper is to review the application of endoprothesis in the settings of pancreatic injury. A review of the English literature available was conducted and the experience of our centre described. While the classical recommended treatment of Grade III pancreatic injury (transection of the gland and the pancreatic duct in the body/tail) is surgical resection this approach carries high morbidity. ERCP was first reported as a diagnostic tool in the settings of pancreatic injury but has in recent years been used increasingly as a treatment option with promising results. This article reviews the literature on ERCP as treatment option for pancreatic injury and adds further to the limited number of cases reported that have been treated early after the trauma.

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Section: Discussionmentioning

confidence: 74%

Early endoscopic treatment of blunt traumatic pancreatic injury

Björnsson

Kullman

Gasslander

et al. 2015

Scandinavian Journal of Gastroenterology

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“…Pancreatic duct stent placement has been shown to be an effective method of managing pancreatic MPD injury [11,16,17]. However, ductal stricture at the injured site is a major long-term complication of this procedure [18].…”

Section: Discussionmentioning

confidence: 99%

Successful Conservative Management of Traumatic Pancreatic Duct Injury: A Case Report

Abdullah¹,

Babieker²,

Saleh³

2022

Cureus

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Patients with blunt abdominal trauma are at high risk of getting pancreatic injury, with high morbidity and mortality rates. The decision to manage the patient operatively depends highly on the condition of the main pancreatic duct (MPD). Conservative management of traumatic MPD injuries is rarely reported in the literature. In this article, we present the case of a 19-year-old male patient, medically free, admitted to the hospital following blunt abdominal trauma. He was hemodynamically stable and computed tomography showed MPD injury with no evidence of active bleeding or bile leakage. So, the decision to manage him conservatively was taken. Our aim in this report is to highlight the fact that the operative management of traumatic MPD injuries, which carries dangerous post-operative complications, could be avoided.

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“…4 Thus, experience in the use of early therapeutic ERP to avoid duct-related complications in patients with high-grade pancreatic trauma is limited. Early therapeutic ERP and conservative management are likely to result in successful treatment of relatively mild injuries with limited leakage of pancreatic fluid, 5,6 whereas the combination of early therapeutic ERP and surgery may be a better choice for patients with massive leakage in whom pancreatic resection is judged to be unnecessary. 7,8 In the present case, laparotomy was the sole option for draining the retroperitoneal fluid; however, the surgical procedure was minimally invasive, comprising the Kocher maneuver, irrigation, drainage, and suturing of the pancreatic laceration.…”

Section: Discussionmentioning

confidence: 99%