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Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Traumatic injuries of the pancreas are rare. Epidemiological studies in a Scandinavian population have reported an incidence of 0.4 cases per 100,000 head of population per year, accounting for 7% of laparotomies performed for abdominal trauma [1]. An earlier study reported the same incidence of pancreatic injuries (7.4%) among trauma laparotomies performed in the Los Angeles urban area [2].

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References

  1. Nilsson E, Norrby S, Skullman S et al (1986) Pancreatic trauma in a defined population. Acta Chir Scand 152: 647–651

    CAS  PubMed  Google Scholar 

  2. White PH, Benfield JR (1972) Amylase in the management of pancreatic trauma. Arch Surg 105:158–163

    CAS  PubMed  Google Scholar 

  3. Graham JM, Mattox KL, Jordan GL Jr et al (1978) Traumatic injuries of the pancreas. Am J Surg 136:144–148

    Article  Google Scholar 

  4. Arkovitz MS, Johnson N, Garcia VF (1997) Pancreatic trauma in children: mechanisms of injury. J Trauma 42:49–53

    Article  CAS  PubMed  Google Scholar 

  5. Moore E, Feliciano D, Mattox K (2004) Trauma, 5th edn. McGraw-Hill, New York

    Google Scholar 

  6. Takishima T, Sugimoto K, Hirata M et al (1997) Serum amylase level on admission in the diagnosis of blunt injury to the pancreas: its significance and limitations. Ann Surg 226:70–76

    Article  PubMed  Google Scholar 

  7. Jeffrey RB Jr, Federle MP, Crass RA et al (1983) CT of pancreatic trauma. Radiology 147:491–494

    PubMed  Google Scholar 

  8. Peitzman AB, Makaroun MS, Slasky BS et al (1986) Prospective study of CT in initial management of blunt abdominal trauma. J Trauma 26:585–592

    Article  CAS  PubMed  Google Scholar 

  9. Wilson RH, Moorehead RJ (1991) Current management of trauma to the pancreas. Br J Surg 78:1196–1202

    Article  CAS  PubMed  Google Scholar 

  10. Buccimazza I, Thomson SR, Anderson F et al (2006) Isolated main pancreatic duct injuries spectrum and management. Am J Surg 191:448–452

    Article  PubMed  Google Scholar 

  11. Heitsch RC, Knutson CO, Fulton RC, Jones CE (1976) Delineation of critical factors in the treatment of pancreatic trauma. Surgery 80:523–539

    CAS  PubMed  Google Scholar 

  12. Whittwell AE, Gomez GA, Byers P et al (1989) Blunt pancreatic trauma: prospective evaluation of early endoscopic retrograde pancreatography. South Med J 82:586–591

    CAS  PubMed  Google Scholar 

  13. Wisner DH, Wold RL, Fray CF (1990) Diagnosis and treatment of pancreatic injuries. An analysis of management principles. Arch Surg 125:1109–1113

    CAS  PubMed  Google Scholar 

  14. Soto TA, Alvarez O, Mùnera F et al (2001) Traumatic disruption of the pancreatic duct: diagnosis with MR pancreatography. AJR Am J Roentgenol 176:175–178

    CAS  PubMed  Google Scholar 

  15. Boffard K (ed) (2003) Manual of definitive surgical trauma care. Arnold, London

    Google Scholar 

  16. Nowak MM, Baringer DC, Ponsky JL (1986) Pancreatic injuries: effectiveness of debridement and drainage for nontransecting injuries. Am Surg 52:599–602

    CAS  PubMed  Google Scholar 

  17. Andersen DK, Bolman RM et al (1980) Management of penetrating pancreatic injuries: subtotal pancreatectomy using the auto-suture stapler. J Trauma 20:347–349

    CAS  PubMed  Google Scholar 

  18. Patton JH jr, Lyden SP, Croce MA et al (1997) Pancreatic trauma: a simplified management guideline. J Trauma 43:234–239

    Article  PubMed  Google Scholar 

  19. Feliciano DV, Martin TD, Cruse PA et al (1987) Management of combined pancreatoduodenal injuries. Ann Surg 205:673–680

    Article  CAS  PubMed  Google Scholar 

  20. Delcore R, Stauffer JS, Thomas JH et al (1994) The role of pancreatogastrostomy following pancreatoduodenectomy for trauma. J Trauma 37:395–400

    Article  CAS  PubMed  Google Scholar 

  21. Bradley EL, Young PR Jr, Chang MC et al (1998) Diagnosis and initial management of blunt pancreatic trauma: guidelines from a multi-institutional review. Ann Surg 227:861–869

    Article  PubMed  Google Scholar 

  22. Kim HS, Lee DK, Kim IW et al (2001) The role of endoscopic retrograde pancreatography in the treatment of traumatic pancreatic duct injury. Gastroint Endosc 54:49–55

    Article  CAS  Google Scholar 

  23. McKay C, Baxter J, Imrie C (1997) A randomised controlled trial of octreotide in the management of patients with acute pancreatitis. Int J Pancreatol 21:13–19

    CAS  PubMed  Google Scholar 

  24. Kellum JM, Holland GF, McNeill P (1988) Traumatic pancreatic cutaneous fistula: comparison of enteral and parenteral feeding. J Trauma 28:700–714

    Article  CAS  PubMed  Google Scholar 

  25. Leppaniemi A, Haapiainer R, Kiviluoto T, Lempinen M (1988) Pancreatic trauma: acute and late manifestations. Br J Surg 75:165–167

    Article  CAS  PubMed  Google Scholar 

  26. Akhrass R, Yaffe MB, Brandt CP et al (1997) Pancreatic trauma: a 10-year multi-institutional experience. Am Surg 63:598–604

    CAS  PubMed  Google Scholar 

  27. Cogbill TH, Moore EE, Moris JA Jr et al (1991) Distal pancreatectomy for trauma: a multicenter experience. J Trauma 31:1600–1606

    Article  CAS  PubMed  Google Scholar 

  28. Moore JB, Moore EE (1984) Changing trends in the management of combined pancreatoduodenal injuries. World J Surg 8:791–797

    Article  CAS  PubMed  Google Scholar 

  29. Graham JM, Mattox KL, Jordan GL Jr (1978) Traumatic injuries of the pancreas. Am J Surg 136:744–748

    Article  CAS  PubMed  Google Scholar 

  30. Graham JM, Mattox KL, Vaughan GD 3rd, Jordan GL Jr (1979) Combined pancreatoduodenal injuries. J Trauma 19:340

    Article  CAS  PubMed  Google Scholar 

  31. Balasegaram M (1979) Surgical management of pancreatic trauma. Curr Prob Surg 16(12):1–59

    Article  CAS  Google Scholar 

  32. Prinz RA, Pickleman J, Hoffman JP (1988) Treatment of pancreatic cutaneous fistula with a somatostatin analog. Am J Surg 155:36–42

    Article  CAS  PubMed  Google Scholar 

  33. Kozarek RA, Traverso LW (1996) Pancreatic fistulas: etiology, consequences and treatment. Gastroenterologist 4:238–244

    CAS  PubMed  Google Scholar 

  34. Feliciano DV, Martin TD, Cruse PA et al (1987) Management of combined pancreatoduodenal injuries. Ann Surg 205:673–680

    Article  CAS  PubMed  Google Scholar 

  35. Wynn M, Hill DM, Miller DR et al (1985) Management of pancreatic and duodenal trauma Am J Surg 150:327–332

    Article  CAS  PubMed  Google Scholar 

  36. Kudsk KA, Temizer D, Ellison EC et al (1986) Post-traumatic pancreatic sequestrum: recognition and treatment. J Trauma 26:320–324

    Article  CAS  PubMed  Google Scholar 

  37. Kozarek RA, Ball TJ, Patterson DJ et al (1991) Endoscopic transpapillary therapy for disrupted pancreatic duct and peripancreatic fluid collections. Gastroenterology 100:1362–1370

    CAS  PubMed  Google Scholar 

  38. Blaisdell FW, Trunkey DD (eds) (1982) Trauma to the pancreas and duodenum. In: Abdominal trauma. Thieme-Stratton, New York, pp 87–122

    Google Scholar 

  39. Jones RC (1985) Management of pancreatic trauma. Am J Surg 150:698–704

    Article  CAS  PubMed  Google Scholar 

  40. Bach RD, Frey CF (1971) Diagnosis and treatment of pancreatic trauma. Am J Surg 121:20–29

    Article  CAS  PubMed  Google Scholar 

  41. Glancy KE (1989) Review of pancreatic trauma. West J Med 151:45–51

    CAS  PubMed  Google Scholar 

  42. Carr ND, Cairns SJ, Lees WR (1989) Late complications of pancreatic trauma. Br J Surg 76:1244–1246

    Article  CAS  PubMed  Google Scholar 

  43. Smego DR, Richardson JD, Flint LM (1985) Determinants of outcome in pancreatic trauma. J Trauma 25:771–776

    Article  CAS  PubMed  Google Scholar 

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© 2009 Springer-Verlag Italia

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Catena, F., Di Saverio, S., Ansaloni, L., Pinna, A.D. (2009). Pancreatic Trauma. In: Surgical Treatment of Pancreatic Diseases. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-0856-4_3

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  • DOI: https://doi.org/10.1007/978-88-470-0856-4_3

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0855-7

  • Online ISBN: 978-88-470-0856-4

  • eBook Packages: MedicineMedicine (R0)

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