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Early endoscopic treatment of blunt traumatic pancreatic injury
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping. Linköping University, Faculty of Medicine and Health Sciences.
2015 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 50, no 12, 1435-1443 p.Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
TAYLOR and FRANCIS LTD , 2015. Vol. 50, no 12, 1435-1443 p.
Keyword [en]
endoscopic retrograde cholangiopancreaticography; pancreatic trauma; The American Association for the Surgery of Trauma (AAST)
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-121930DOI: 10.3109/00365521.2015.1060627ISI: 000361325700001PubMedID: 26096464OAI: oai:DiVA.org:liu-121930DiVA: diva2:860700
Available from: 2015-10-13 Created: 2015-10-12 Last updated: 2016-03-31

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Björnsson, BergthorKullman, EricGasslander, ThomasSandström, Per
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Division of Clinical SciencesDepartment of Surgery in LinköpingFaculty of Medicine and Health Sciences
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Scandinavian Journal of Gastroenterology
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