Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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A Case of a Traumatic Pancreatic Neck Transection Treated with a Binding Pancreaticogastrostomy

외상성 췌장 경부 절단에서 시행된 Binding 췌위장문합술 1례

  • Sul, Young Hoon (Department of Surgery, Chungnam National University, College of Medicine) ;
  • Lee, Sang Il (Department of Surgery, Chungnam National University, College of Medicine) ;
  • Cheon, Kwang Sik (Department of Surgery, Chungnam National University, College of Medicine) ;
  • Song, In Sang (Department of Surgery, Chungnam National University, College of Medicine)
  • 설영훈 (충남대학교 의과대학 외과학교실) ;
  • 이상일 (충남대학교 의과대학 외과학교실) ;
  • 전광식 (충남대학교 의과대학 외과학교실) ;
  • 송인상 (충남대학교 의과대학 외과학교실)
  • Received : 2013.02.01
  • Accepted : 2013.02.26
  • Published : 2013.06.30
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Abstract

Pancreatic injury following blunt abdominal trauma is rare, but it has high morbidity and mortality. Various treatments have been attempted, but none has yet been clearly established. The pancreatic neck transection is usually managed by using a distal pancreatectomy with or without a splenectomy. However, pancreatic insufficiency and the risk of post-splenectomy infection remain significant problems. To avoid these problems in patients with a pancreatic neck transection, one may use a pancreaticoenteric anastomosis as a treatment option, but a pancreatic fistula from the pancreaticoenteric anastomosis remains a significant cause of morbidity and mortality. Recently, several reports proposed the binding pancreaticogastrostomy to minimize the possibility of a postoperative pancreatic fistula developing after pancreatic surgery. Thus, we report a case of a traumatic pancreatic neck transection successfully treated with a binding pancreaticogastrostomy.

Keywords

References

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