title: Evolving management of pancreatic injury.
abstract: OBJECTIVE
  In this study we present a concise review of the evolving management of traumatic injury to the pancreas, including diagnostic approaches and options for operative and nonoperative intervention.
  
  
  RESULTS
  New diagnostic adjuncts can be used for the evaluation of injury to the pancreas and pancreatic duct. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are used as diagnostic modalities for duct evaluation. ERCP can be therapeutic with sphincterotomy and/or stenting for duct disruption. Computed tomography scan is the initial imaging study of choice for pancreatic injury, but is also used for drainage of pancreatic abscesses or pseudocysts.
  
  
  CONCLUSIONS
  Nonoperative management of solid organ injuries is the recommended treatment in hemodynamically stable patients. This strategy is now being successfully applied to pancreatic injuries in specific situations. However, the mainstays of pancreatic injury remain the same. The identification of pancreatic duct injury is the top priority. Management includes distal resection, debridement, and closed suction drainage of pancreatic injuries.
authors: Division of Trauma and Critical Care, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors: Mason
authors: M
authors: Fisher
authors: Karen
authors: K
authors: Brasel
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D010179:Pancreas / Q000293:injuries* / Q000473:pathology; D010185:Pancreatic Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D014947:Wounds and Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy