Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Cerwenka, H; Bacher, H; El-Shabrawi, A; Kornprat, P; Lemmerer, M; Portugaller, HR; Mischinger, HJ.
Management of pancreatic trauma and its consequences--guidelines or individual therapy?
Hepatogastroenterology. 2007; 54(74):581-584
(- Case Report)
Web of Science
PubMed
- Führende Autor*innen der Med Uni Graz
- Cerwenka Herwig
- Co-Autor*innen der Med Uni Graz
- Bacher Heinz
- Kornprat Peter
- Lemmerer Martina Michaela
- Mischinger Hans-Jörg
- Portugaller Rupert
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Abstract:
- Diagnosis of pancreatic trauma and its complications may be difficult due to non-specific signs and symptoms and treatment recommendations are not unequivocal. Clinical data of a series of 47 patients with pancreatic trauma were analyzed; most of them were polytraumatized and treated by an interdisciplinary team. The most common causes were traffic accidents and sport injuries with 66% and 15%, respectively. Concomitant injuries were seen in 96% (nonpancreatic intra-abdominal injuries 85% including spleen 38% and liver 34%, extra-abdominal injuries 70%). Concomitant liver injuries were treated conservatively in 31% and operatively in 69% (including hepatic packing in 38%). Concomitant splenic injuries were usually very severe and could be managed conservatively in only 11%. All patients with pancreatic injuries grade III, IV or V (17%) according to the American Association of Surgical Trauma Classification required surgery, endoscopic treatment or interventional radiology. The most common posttraumatic complications were necrotizing pancreatitis (15%), pseudocyst formation (9%), abscesses (6%) and fistulas (4%). The status of the pancreatic duct is the crucial point for management of pancreatic trauma and should be assessed as early as possible. Treatment has to be tailored to the individual situation, especially in patients with severe concomitant injuries or prolonged course.
- Find related publications in this database (using NLM MeSH Indexing)
- Abdominal Abscess - etiology
- Abdominal Injuries - diagnosis Abdominal Injuries - surgery
- Humans -
- Multiple Trauma - diagnosis Multiple Trauma - surgery
- Pancreas - injuries Pancreas - surgery
- Pancreatic Diseases - etiology
- Pancreatic Ducts - injuries Pancreatic Ducts - surgery
- Pancreatic Fistula - etiology
- Pancreatic Pseudocyst - etiology
- Pancreatitis, Acute Necrotizing - etiology
- Patient Care Team -
- Postoperative Complications - etiology
- Practice Guidelines as Topic -
- Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - surgery
- Wounds, Penetrating - diagnosis Wounds, Penetrating - surgery
- Find related publications in this database (Keywords)
- pancreatic trauma
- abdominal trauma
- pancreatic duct lesion
- pancreatitis
- pancreatic fistula
- pancreatic pseudocyst