title: Management of blunt pancreatic trauma in children.
abstract: Blunt trauma to the abdomen accounts for the majority of abdominal injuries in children. Pancreatic injury is the fourth most common solid organ injury, following injuries to the spleen, liver and kidneys. The most common complications are the formation of pancreatic fistulae, pancreatitis and the development of pancreatic pseudocysts, which usually present several weeks after injury. The nonoperative management of minor pancreatic injury is well accepted; however, the treatment of more serious pancreatic injuries with capsular, ductal or parenchymal disruption in pediatric patients remains controversial. Based on the data presented in this literature review, although children with pancreatic injuries (without ductal disruption) do not appear to suffer increased morbidity following conservative management, patients with ductal disruption may benefit from operative intervention.
authors: Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan, maedak@jichi.ac.jp.
authors: Kosaku
authors: K
authors: Maeda
authors: Shigeru
authors: S
authors: Ono
authors: Katsuhisa
authors: K
authors: Baba
authors: Insu
authors: I
authors: Kawahara
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D019468:Disease Management; D006801:Humans; D010179:Pancreas / Q000293:injuries*; D010180:Pancreatectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery*
references: J Trauma. 1997 Jun;42(6):1097-100
references: 9210548
references: J Pediatr Gastroenterol Nutr. 2009 Jan;48(1):66-71
references: 19172126
references: Br J Surg. 1991 Oct;78(10):1196-202
references: 1958984
references: J Trauma. 1997 Jan;42(1):49-53
references: 9003257
references: J Pediatr Surg. 2007 Apr;42(4):629-35
references: 17448757
references: J Pediatr Surg. 2001 May;36(5):823-7
references: 11329598
references: Pediatr Surg Int. 2013 Apr;29(4):401-5
references: 23242202
references: Pancreas. 2010 May;39(4):547-8
references: 20418762
references: Surg Clin North Am. 1995 Apr;75(2):293-303
references: 7899999
references: Am Surg. 1996 Aug;62(8):647-51
references: 8712562
references: J Trauma. 1996 Jun;40(6):1014-6
references: 8656455
references: J Pediatr Surg. 1995 Feb;30(2):336-40
references: 7738761
references: Am Surg. 1997 Jul;63(7):598-604
references: 9202533
references: Arch Surg. 1989 Sep;124(9):1093-5
references: 2789030
references: Ann Surg. 1997 Jul;226(1):70-6
references: 9242340
references: Ann Surg. 1994 Jun;219(6):625-8; discussion 628-31
references: 8203971
references: J Pediatr Surg. 1999 May;34(5):818-23; discussion 823-4
references: 10359187
references: J Pediatr Surg. 2010 Feb;45(2):401-6
references: 20152361
references: J Pediatr Surg. 1996 Jul;31(7):896-900
references: 8811551
references: J Pediatr Surg. 2001 Feb;36(2):341-4
references: 11172430
references: J Trauma. 2001 Jun;50(6):1001-7
references: 11428378
references: J Pediatr Surg. 2007 Feb;42(2):340-4
references: 17270545