Diagnosis and management of pancreatic trauma.
The diagnosis and management of 76 patients with pancreatic trauma is reviewed. There was an overall mortality rate of 5 per cent. A preoperative serum amylase determination was a valuable parameter when assessing blunt trauma. Operative management required debridement and external drainage in approximately three-fourths of all injuries. Pancreatic resection was reserved for ductal disruption. Interruption of ductal integrity accounted for 47 per cent of all complications. Only one-third required reoperative therapy. Associated major vascular injuries accounted for all deaths.
D000007:Abdominal Injuries / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries* / Q000601:surgery; D010180:Pancreatectomy; D010181:Pancreatic Cyst / Q000601:surgery; D010185:Pancreatic Fistula / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery*; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000601:surgery*