Evidence map›Paper›PMID 42690427›Full record

ArticleSurgery today2026

The role of diagnostic and therapeutic endoscopic retrograde pancreatography in traumatic pancreatic injury: a retrospective single-center study.

Seiha Tanaka, Naoki Ikenaga, Noboru Ideno, Nao Fujimori, Toshiya Abe, Toshiharu Matsuura, Kohei Nakata, Shinji Itoh, Tomoharu Yoshizumi, Tomohiko Akahoshi

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Seiha TanakaDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Naoki IkenagaDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. ikenaga.naoki.533@m.kyushu-u.ac.jp.
Noboru IdenoDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Nao FujimoriDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Toshiya AbeDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Toshiharu MatsuuraDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kohei NakataDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Shinji ItohDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomoharu YoshizumiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomohiko AkahoshiDepartment of Advanced Emergency and Disaster Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. akahoshi.tomohiko.006@m.kyushu-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTraumatic pancreatic injuries are uncommon but challenging to manage. This study aimed to clarify the clinical characteristics of traumatic pancreatic injury and explore the role of early endoscopic retrograde pancreatography (ERP) as a diagnostic and therapeutic approach.

methodsWe reviewed 14 patients with traumatic pancreatic injuries treated between 2007 and 2025. Injuries were classified according to the Japanese Association for the Surgery of the Trauma System. Clinical outcomes were analyzed according to early ERP use (≤ 24 h after injury).

resultsThree patients had a type I injury, one had a type II injury, five had a type IIIa injury, and five had a type IIIb injury. Patients with a type IIIa/b injury had higher serum amylase levels at 24 and 48 h, as well as higher secondary intervention rates and longer hospital stays. Among five patients who underwent early ERP, the main pancreatic duct injury was successfully bridged in one patient with a type IIIb injury, enabling non-operative management. There were no significant differences in clinical outcomes between the early ERP and delayed/no ERP groups.

conclusionsAppropriate management of traumatic pancreatic injuries resulted in favorable outcomes. Further studies are required to clarify the clinical importance of early ERP.

Indexed as

Conservative TreatmentEndoscopic Retrograde CholangiopancreatographyOperativePancreatic DuctsPancreatic InjuriesSurgical Procedures

Identifiers

PMID42690427

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