J Trauma Inj Search

CLOSE


Journal of Trauma and Injury 2012;25(4):261-266.
Experience with Blunt Pancreatic Trauma at Eulji University Hospital
Seung Hyun Yang, Yun Su Mun, Oh Sang Kwon, Min Koo Lee
Department of Surgery, Eulji University Hospital, Daejeon, Korea. mklee@eulji.ac.kr
둔상에 의한 외상성 췌장 손상의 임상적 고찰
양승현∙문윤수∙권오상∙이민구
을지대학병원 외과학교실
Received: 22 November 2012   • Revised: 26 November 2012   • Accepted: 1 December 2012
Abstract
PURPOSE
Traumatic pancreatic injury is not common in abdominal trauma injury. However, the morbidity and the mortality rates of patients with pancreatic injury, which are related with difficulties of initial assessment, establishment of diagnosis, and treatment are relatively high. The aim of this study is to review our institution's experience and suggest a diagnosis and therapeutic algorithm for use in cases involving traumatic pancreatic injury.
METHODS
Eighteen(18) patients with blunt pancreatic injury from January, 2004 to October 2012 were included in this study. We analyzed treatment and diagnosis method, other organ injury, treatment interval, hospital stay and complications retrospectively.
RESULTS
Nine patients were treated with conservative medication and another nine patients were treated surgically. Complications occurred in nine patients, and one patient died due to intraventricular hemorrhage and subdural hemorrhage with multiple organ failure. Delayed surgery was performed in three cases. The early and delayed surgery groups showed difference in hospital stay and intensive care unit stay. Delayed surgery was associated with a longer hospital stay (p=0.007) than immediate surgery.
CONCLUSION
In blunt pancreatic trauma, proper early diagnosis and prompt treatment are recommended necessity. Based on this review of our experience, we also suggest the adoption of our institution's algorithm for cases involving traumatic pancreatic injury.
Key Words: Trauma; Pancreas; Blunt pancreas injury


ABOUT
BROWSE ARTICLES

Browse all articles >

EDITORIAL POLICY
FOR CONTRIBUTORS
FOR READERS
Editorial Office
2619 Twincity-namsan, 366, Hangang-daero, Yongsan-gu, Seoul. 04323, Korea
Tel: +82-10-4391-0788    E-mail: office@jtraumainj.org                

Copyright © 2023 by The Korean Society of Traumatology.

Developed in M2PI

Close layer
prev next