title: Early endoscopic treatment of blunt traumatic pancreatic injury.
abstract: Blunt pancreatic trauma is a rare and challenging situation. In many cases, there are other associated injuries that mandate urgent operative treatment. Morbidity and mortality rates are high and complications after acute pancreatic resections are common. The diagnosis of pancreatic injuries can be difficult and often requires multimodal approach including Computed Tomography scans, Magnetic resonance imaging and Endoscopic retrograde cholangiopancreaticography (ERCP). The objective of this paper is to review the application of endoprothesis in the settings of pancreatic injury. A review of the English literature available was conducted and the experience of our centre described. While the classical recommended treatment of Grade III pancreatic injury (transection of the gland and the pancreatic duct in the body/tail) is surgical resection this approach carries high morbidity. ERCP was first reported as a diagnostic tool in the settings of pancreatic injury but has in recent years been used increasingly as a treatment option with promising results. This article reviews the literature on ERCP as treatment option for pancreatic injury and adds further to the limited number of cases reported that have been treated early after the trauma.
authors.affiliation: Department of Surgery, County Council of Östergötland , Linköping , Sweden.
authors.forename: Bergthor
authors.initials: B
authors.lastname: Björnsson
authors.forename: Eric
authors.initials: E
authors.lastname: Kullman
authors.forename: Thomas
authors.initials: T
authors.lastname: Gasslander
authors.forename: Per
authors.initials: P
authors.lastname: Sandström
mesh_terms: D000293:Adolescent; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010179:Pancreas / Q000293:injuries* / Q000601:surgery*; D010183:Pancreatic Ducts / Q000293:injuries* / Q000601:surgery*; D012955:Societies, Medical; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000145:classification / Q000175:diagnosis*; D055815:Young Adult
keywords: The American Association for the Surgery of Trauma (AAST); endoscopic retrograde cholangiopancreaticography; pancreatic trauma