ReviewWorld journal of emergency surgery : WJES2019
Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines.
Review in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.
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Who cites it
71 citing papers in PubMed, 4 syntheses or guidelines pooled it, 170 citations in OpenAlex.
- Guideline
- 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
- [Management of internal bleeding : Guidelines of the American Association for the Surgery of Trauma (AAST) and World Society of Emergency Surgery (WSES)].Radiologie (Heidelberg, Germany) · 2025Guideline
- Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines.World journal of emergency surgery : WJES · 2022Guideline
- Hematologic and Inflammatory Biomarker-Based Prognostic Assessment in Acute Pancreatitis: The Role of CRP, Procalcitonin, and CRP/Albumin Ratio.Digestive diseases and sciences · 2026Article
- Early computed tomography may miss main pancreatic duct injury in distal pancreatic trauma: a prospective surgically verified diagnostic accuracy study.Emergency radiology · 2026Article
- 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 Perforation After Blunt Trauma: CT and Operative Correlation of an Unexpected Finding.Cureus · 2026Article
- Gastrointestinal Bleeding in Severe Acute Pancreatitis: Pathogenesis and Clinical Management.Digestive diseases and sciences · 2026Review
- Intramural Duodenal Hematoma-A Rare Post-Endoscopy Complication in Pediatric Noonan Syndrome: A Case Report.Pediatric reports · 2026Article
- Penetrating trauma leading to a transfixing common bile duct injury: case report and surgical management.BMC surgery · 2026Article
- Spontaneous choledochoduodenal fistula following complete common bile duct transection from penetrating abdominal trauma: an unexpected non-operative resolution.International journal of emergency medicine · 2026Article
- Treat the patient, not the grade of injury: modern management of solid organ trauma in children.BMC surgery · 2026Article
- Isolated Blunt Pancreatic Head Injury with Evolving Acute Peripancreatic Fluid Collection in a Child Successfully Managed Conservatively.Pediatric reports · 2026Article
- Recanalization of the Duodenum Following a High-Grade Post-Laparoscopic Cholecystectomy Duodenal Injury: Personalized Approach Presentation and Systematic Review of Management Options.Journal of personalized medicine · 2026Review
- Review
- [Differentiated management of hepatic, biliary and pancreatic injuries].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Duodenal Trauma: Mechanisms of Injury, Diagnosis, and Management.Journal of clinical medicine · 2026Review
- Total pancreas-preserving pancreatic injury-site jejunostomy for traumatic pancreatic head injury with main pancreatic duct transection: feasibility and decision algorithm.Trauma surgery & acute care open · 2026Article
- Case Report: Robotic-assisted laparoscopic primary repair for pancreaticoduodenal grade V injury in a pediatric patient.Frontiers in pediatrics · 2026Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
33 authors at 20 institutions in 16 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.
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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.