Book chapter
Pancreatic and Duodenal Injuries
Acute Care Surgery and Trauma, pp 247-256
2016
Abstract
George Velmahos et al. retrospectively analyzed 230 patients with blunt pancreatic and/or duodenal injuries in a multicenter study, and found that 97 had initial non-operative management. Depending on the prevalence of penetrating trauma and the age group, the incidence of pancreatic and duodenal injuries seen in trauma centers may vary, and ranges from 0.004% to 5% of all trauma admissions. Particularly in penetrating trauma, pancreatic and duodenal injuries are frequently associated with injuries to other organs. More subtle findings, such as bowel wall thickening, surrounding retroperitoneal fluid, fat stranding should also raise suspicion of duodenal injury. A crucial distinction between perforation and contusion or wall hematoma should be made since, in the absence of perforation, these duodenal injuries may be managed non-operatively. Whereas the use of pyloric exclusion may have a role in a subset of patients with duodenal injuries, the specific circumstances where this is applicable has not been clearly elucidated.
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Details
- Title
- Pancreatic and Duodenal Injuries
- Creators
- Firas G. MadbakAdrian W. Ong
- Contributors
- Stephen M. Cohn (Editor)Matthew O. Dolich (Editor)Kenji Inaba (Editor)
- Publication Details
- Acute Care Surgery and Trauma, pp 247-256
- Publisher
- CRC Press
- Edition
- 2
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- Surgery
- Other Identifier
- 991022020737804721