Browse > Article

A Case of a Traumatic Pancreatic Neck Transection Treated with a Binding Pancreaticogastrostomy  

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)
Publication Information
Journal of Trauma and Injury / v.26, no.1, 2013 , pp. 18-21 More about this Journal
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
Pancreatic neck transection; Bindng pancreaticogastrostomy;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Craig MH, talton DS, Hauser CJ, Poole GV, Pancreatic injuries from blunt trauma. Am Surg 1995;61:125-128.
2 Cogbill TH, Moore EE, Kashuk JL. Changing trends in the management of pancreatic trauma. Arch Surg 1982;117:722- 8.   DOI
3 Wisner DH, Wold RL, Frey CF. Diagnosis and treatment of pancreatic injuries: an analysis of management principles. Arch Surg 1990;125:1109-13.   DOI
4 Patton JH Jr, Lynden SP, Croce MA, Pritchard FE, Minard G, Kudsk KA, et al. Pancreatic trauma: a simplified management guideline. J Trauma 1997;43:234-41.   DOI
5 Jones RC. Management of pancreatic trauma. Am J Surg 1985;150:698-704.   DOI
6 Antonacci N, Di Saverio S, Ciaroni V, Biscardi A, Giugni A, Cancellieri F, et al. Prognosis and treatment of pancreaticoduodenal traumatic injuries: which factors are predictors of outcome? J Hepatobiliary Pancreat Sci 2011;18:195-201.   DOI
7 Yoo SB, Cho MS, Bae KS, Kang SJ. J Korean Soc Traumatol 2004;17:125-30.
8 Lillemoe KD, Kaushal S, Cameron JL, Sohn TA, Pitt HA, Yeo CJ. Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg 1999;229:693-700.   DOI
9 Crippa S, Bassi C, Warshaw AL, Falconi M, Partelli S, Thayer SP, et al. Middle pancreatectomy: indications, shortand long- term operative outcomes. Ann Surg 2007;246:69- 76.   DOI
10 Goldstein MJ, Toman J, Chabot JA. Pancreaticogastrostomy: a norvel application after central pancreatectomy. J Am Coll Surg 2004;198:871-6.   DOI
11 Shoup M, Brennan MF, McWhite K, Leung DH, Klimstra P, Conlon KC. The value of splenic preservation with distal pancreatectomy. Arch Surg 2002;137:164-8.   DOI
12 Doley PR, Thakur DY, Ashwani D, Mayank J, Rajeev S, Wig JD. Traumatic transetion of pancreas at neck: Feasibility of parenchymal preserving strategy. Gastroentrol Research. 2010;3:79-85.
13 Peng SY, Wang JW, Hong DF, Liu YB, Wang YF. Binding pancreaticoenteric anastomosis: from bindng pancreaticojejunostomy to binding pancreaticogastrostomy. Updates Surg 2011;63:69-74.   DOI
14 Hwang SY, Choi YC. Prognostic determinants in patients with traumatic pancreatic injuries. J Korean Med Sci 2008;23: 126-30.   DOI
15 Jang HN, Shim HJ, Cha SW, Lee JG. Management of traumatic pancreas injury in multiple trauma - single center experience. J Korean Soc Traumatol 2011;24:111-7.