title: Pancreatic trauma: Management and literature review.
abstract: Pancreatic injury is an uncommon event often difficult to diagnose at an early stage. After abdominal trauma, the surgeon must always be aware of the possibility of pancreatic trauma due to the complications associated with missed pancreatic injuries. Due to its retroperitoneal position, asociated organs and vascular injuries are almost always present, which along with frequent extra abdominal injuries explain the high morbidity and mortality. The aim of this study is to present a concise description of the incidence of these injuries, lesional mechanisms, recommended diagnostic methods, therapeutic indications including nonoperative management, endoscopy and surgery, and an analysis of pancreas-specific complications and mortality rates in these patients based on a 60-year review of the literature, encompassing 6,364 patients. Due to pancreatic retroperitoneal position, asociated organs and vascular injuries are almost always present, which along with frequent extraaabdominal injuries explain the high morbidity and mortality of these patients.
authors.affiliation: Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.. Electronic address: patrizio.petrone@gmail.com.
authors.forename: Patrizio
authors.initials: P
authors.lastname: Petrone
authors.affiliation: Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Sara
authors.initials: S
authors.lastname: Moral Álvarez
authors.affiliation: Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Marta
authors.initials: M
authors.lastname: González Pérez
authors.affiliation: Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: José
authors.initials: J
authors.lastname: Ceballos Esparragón
authors.affiliation: Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Corrado P
authors.initials: CP
authors.lastname: Marini
mesh_terms: D006801:Humans; D010179:Pancreas / Q000293:injuries*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy
keywords: Diagnosis; Diagnóstico; Incidence; Incidencia; Pancreas; Páncreas; Tratamiento; Trauma; Traumatismo; Treatment