ArticleLangenbeck's archives of surgery2011
Pancreatic injury in 284 patients with severe abdominal trauma: outcome, course, and treatment algorithm.
Article in Langenbeck's archives of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Presentation and Management of High-Grade Pancreatic Injuries: Case Series.Reports (MDPI) · 2026Article
- Severe post-traumatic Pancreatoduodenal injury with septic shock and enteric fistula: A multidisciplinary challenge - Case report.Trauma case reports · 2026Article
- [Differentiated management of hepatic, biliary and pancreatic injuries].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Mortality patterns and postoperative outcomes of trauma-induced pancreatic resections: A pilot study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Article
- Middle Pancreatectomy for Traumatic Main Pancreatic Duct Injury with Delayed Presentation: Two Case Series.Surgical case reports · 2025Article
- [Tumorous lesion of the pancreas with unclear dignity].Chirurgie (Heidelberg, Germany) · 2024Article
- Article
- Indocyanine green fluorescence-guided laparoscopic central pancreatectomy for complete pancreatic transection trauma: a rare case and literature review.Frontiers in surgery · 2024Article
- [Treatment of pancreatic injuries after blunt abdominal trauma].Chirurgie (Heidelberg, Germany) · 2023Review
- Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research.Journal of pharmacy & bioallied sciences · 2023Article
- Delayed distal pancreatectomy for isolated complete pancreatic disruption secondary to "trivial" blunt abdominal injury: A case report and literature review.Clinical case reports · 2022Article
- An analysis of 77 cases of pancreatic injuries at a level one trauma center: Outcomes of conservative and surgical treatments.Annals of hepato-biliary-pancreatic surgery · 2022Article
- Renalase is a novel tissue and serological biomarker in pancreatic ductal adenocarcinoma.PloS one · 2021Article
- Pancreaticogastrostomy as reconstruction choice in pancreatic trauma surgery: Case report and review of the literature.International journal of surgery case reports · 2019Article
- Establishment and evaluation of a Beagle model of grade III pancreatic trauma.Experimental and therapeutic medicine · 2018Article
- Pancreatic fistula and mortality after surgical management of pancreatic trauma: analysis of 81 consecutive patients during 11 years at a Korean trauma center.Annals of surgical treatment and research · 2018Article
- [Approach to liver, spleen and pancreatic injuries including damage control surgery of terrorist attacks].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- Conservative and surgical management of pancreatic trauma in adult patients.Hepatobiliary surgery and nutrition · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe relevance of pancreatic trauma in severely injured patients within a large collective has not been thoroughly analyzed yet. This study aimed at assessing the prevalence of pancreatic trauma in relation to the outcome and the currently established algorithm of treatment.
methodsSome 51,425 patients from the Trauma Register of the German Society of Trauma Surgery (TR DGU) (1993-2009) were retrospectively analyzed. All patients with an "injury severity score" ≥16, direct admission to a trauma center and subsequent treatment for at least 3 days, age ≥16, and an abdominal injury [abbreviated injury scale (AIS)(abdomen) ≥2] were included. Patients with abdominal trauma (AIS(abdomen) ≥2) were compared with patients with an additional pancreatic trauma (AIS(pancreas) 2-5).
resultsOf 51,425 patients, 9,268 (18%) had documented abdominal injuries. Two hundred eighty-four (3.1%) patients with abdominal injury additionally showed a pancreatic injury (AIS(abdomen) ≥2, AIS(pancreas) 2-5) and were analyzed in dependency of the classification of the American Association for the Surgery of Trauma (AAST) organ severity score. AAST-pancreas: II°, 1.9%; III°, 0.6%; IV°, 0.3%; and V°, 0.2%. Patients with leading pancreatic injury (grades IV and V) thereby showed a significant increase of mortality (IV°, 30.0% and V°, 33.3%) and an increase of the need for surgical intervention (IV°, 80.6% and V°: 81.8%).
conclusionsThe results presented here show the prevalence and the outcome of pancreas injury in a large collective within the TR DGU for the first time. Based on the current literature and the findings, a treatment algorithm has been developed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.