ArticleHepatobiliary surgery and nutrition2016
Conservative and surgical management of pancreatic trauma in adult patients.
Article in Hepatobiliary surgery and nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- New-Onset Diabetes Mellitus Following Pancreatic Injury: A Systematic Review.World journal of surgery · 2025Pooled 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
- Clinical significance of lower admission amylase levels as an indicator of medical management in pancreatic trauma with AAST grade I injury.Surgery today · 2026Article
- Duodenal Trauma: Mechanisms of Injury, Diagnosis, and Management.Journal of clinical medicine · 2026Review
- Article
- Neoampulla of vater creation to treat traumatic intrapancreatic common bile duct injury.World journal of emergency surgery : WJES · 2025Review
- Management and Clinical Outcomes of Pancreaticoduodenal Injuries at a Tertiary Care Centre in Southern India.Cureus · 2025Article
- Review
- Delayed presentation of isolated grade III pancreatic injury-a case report.Journal of surgical case reports · 2023Article
- Management of pancreatic trauma in urban India: A multicenter study.Annals of medicine and surgery (2012) · 2022Article
- A Pragmatic Approach to Pancreatic Trauma: A Single-Center Experience From a Tertiary Care Center.Cureus · 2022Article
- Exocrine and endocrine functions and pancreatic volume in patients with pancreatic trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Isolated pancreatic injury in an adolescent treated with Roux-en-Y pancreatojejunostomy: a case report and review of the literature.Journal of medical case reports · 2021Review
- Spleen-preserving distal pancreatectomy following grade III pancreatic injury in a delayed presentation: a technical challenge.BMJ case reports · 2021Article
- The bridge stenting-based internal drainage in pancreatic trauma patients with main pancreatic duct injury.Updates in surgery · 2020Article
- Conservative management of complete traumatic pancreatic body transection; A case report.International journal of surgery case reports · 2020Article
- Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature.Annals of hepato-biliary-pancreatic surgery · 2019Article
- Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines.World journal of emergency surgery : WJES · 2019Review
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of pancreatic trauma is complex. The aim of this study was to report our experience in the management of pancreatic trauma.
methodsAll patients hospitalized between 2005 and 2013 for pancreatic trauma were included. Traumatic injuries of the pancreas were classified according to the American Association for Surgery of Trauma (AAST) in five grades. Mortality and morbidity were analyzed.
resultsA total of 30 patients were analyzed (mean age: 38±17 years). Nineteen (63%) patients had a blunt trauma and 12 (40%) had pancreatic injury ≥ grade 3. Fifteen patients underwent exploratory laparotomy and the other 15 patients had nonoperative management (NOM). Four (13%) patients had a partial pancreatectomy [distal pancreatectomy (n=3) and pancreaticoduodenectomy (n=1)]. Overall, in hospital mortality was 20% (n=6). Postoperative mortality was 27% (n=4/15). Mortality of NOM group was 13% (n=2/15) in both cases death was due to severe head injury. Among the patients who underwent NOM, three patients had injury ≥ grade 3, one patient had a stent placement in the pancreatic duct and two patients underwent endoscopic drainage of a pancreatic pseudocyst.
conclusionsOperative management of pancreatic trauma leads to a higher mortality. This must not be necessarily related to the pancreas injury alone but also to the associated injuries including liver, spleen and vascular trauma which may cause impaired outcome more than pancreas injury.
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