Browse > Article

Experiences with Pancreaticoduodenal Injuries at a Single Institute  

Cho, Jin-Beom (Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Lee, Jun-Hyun (Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Lee, Do-Sang (Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Publication Information
Journal of Trauma and Injury / v.26, no.4, 2013 , pp. 266-272 More about this Journal
Abstract
Purpose: Although the duodenum and the pancreas are protected by surrounding organs and have a low probability of injury during trauma, the mortality and the morbidity due to complications is high. This report includes the pancreaticoduodenal injuries we observed that were treated at a single institute. Methods: The medical records of patients admitted to our institute between 2001 and 2012 for pancreaticoduodenal injury were retrospectively reviewed. Results: In our hospital, between 2001 and 2012, 15 patients were admitted for a pancreaticoduodenal injury. All patients experienced blunt trauma, 6 of whom were involved in traffic accidents and 9 of whom received injuries from physical assault. Most of the patients were men(13 of 15 patients, 86%) with a mean age of 23 years (range, 5?39 years). All patients were admitted to the emergency center and managed by the surgeons on duty. The mean value of the injury severity score was 22. The mortality rate was 6%(1 of 15 patients). Seven of the fourteen surviving patients(50%) had duodenal injury, 6 patients(42%) had a pancreatic injury, and 1 patient(7%) had a combined pancreaticoduodenal injury. The surgical procedures were targeted at damage control. Conclusion: In conclusion, we believe that damage control surgery is the optimal management for a pancreaticoduodenal injury.
Keywords
Pancreas injury; Duodenal injury; Pancreaticoduodenal injuries; Blunt pancreaticoduodenal injuries;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Phelan HA, Velmahos GC, Jurkovich GJ, Friese RS, Minei JP, Menaker JA, et al. An evaluation of multidetector computed tomography in detecting pancreatic injury: results of a multicenter AAST study. J Trauma 2009; 66: 641-6.   DOI   ScienceOn
2 Asensio JA, Petrone P, Roldan G, Kuncir E, Demetriades D. Pancreaticoduodenectomy: a rare procedure for the management of complex pancreaticoduodenal injuries. J Am Coll Surg 2003; 197: 937-42.   DOI   ScienceOn
3 R. Shayn Martin, J. Wayne Meredith. Management of Acute Trauma. In: Courtney M. Townsend, JR., R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox. SABISTON TESTBOOK OF SURGERY. Philadelphia, PA: ELSELVIER SAUNDERS; 2012: 462-3.
4 Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, et al. Organ Injury Scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990; 30: 1427-9.   DOI   ScienceOn
5 Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187-96.   DOI   ScienceOn
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 Hepatobilliary Pancreat Sci 2011; 18: 195-201.   DOI
7 Stone HH, Garoni WJ. Experiences in the Management of Duodenal Wounds. South Med J 1996; 59: 864-7.
8 Vaughan GD 3rd, Frazier OH, Graham DY, Mattok KL, Petmecky FF, Jordan GL Jr. The use of pyloric exclusion in the management of several duodenal injuries. Am J Surg 1977; 134: 785-90.   DOI   ScienceOn
9 Seanon MJ, Pieri PG, Fisher CA, Gaughan TA, Santora TA, Pathak AS, et al. A ten-year retrospective review: does pyloric exclusion improve clinical outcome after penetrating duodenal and combined pancreaticoduodenal injuries?. J Trauma 2007; 62: 829-33.   DOI
10 Bozkurt B, Ozdemir BA, Kocer B, Unal B, Dolapci M, Cenqiz O. Operative approach in traumatic injuries of the duodenum. Acta Chir Belq 2006; 106: 405-8.
11 Clendenon JN, Meyers RL, Nance ML, Scaife ER. Management of duodenal injuries in children. J Pediatr Surg 2004; 39: 964-8.   DOI   ScienceOn
12 Degiannis E, Glapa M, Loukoqeorqakis SP, Smith MD. Management of pancreatic trauma. Injury 2008; 39: 21-9.   DOI   ScienceOn