Current status and management of pancreatic trauma with main pancreatic duct injury: A multicenter nationwide survey in Japan.

ABSTRACT:

Background

Pancreatic trauma is reportedly associated with high morbidity and mortality. Main pancreatic duct (MPD) injury is critical for treatment.

Methods

As a study project of the Japanese Society for Abdominal Emergency Medicine (JSAEM), we collected the data of 163 patients with pancreatic trauma who were diagnosed and treated at JSAEM board-certified hospitals from 2006 to 2016. Clinical backgrounds, diagnostic approaches, management strategies, and outcomes were evaluated.

Results

Sixty-four patients (39%) were diagnosed as having pancreatic trauma with MPD injury that resulted in 3% mortality. Blunt trauma and isolated pancreatic injury were independent factors predicting MPD injury. Nine of 11 patients with MPD injury who were initially treated nonoperativel

SUBMITTER: Ando Y 

PROVIDER: S-EPMC7986433 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature