Cargando…

Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research

INTRODUCTION: Pancreatic trauma is uncommon and challenging to diagnose. Contrarily, severe injuries to the kidney, spleen, and liver are frequent and typically easy to detect with imaging methods. Pancreas injuries can cause a significant amount of morbidity and mortality. Reviewing the institution...

Descripción completa

Detalles Bibliográficos
Autores principales: Vengail, Sukumaran, Ajmeera, Rajunaik, Jha, Rohit K., Sethi, Alok Kumar, Francis, Mariea, Syed, Afroz K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466639/
https://www.ncbi.nlm.nih.gov/pubmed/37654379
http://dx.doi.org/10.4103/jpbs.jpbs_494_22
_version_ 1785098930808160256
author Vengail, Sukumaran
Ajmeera, Rajunaik
Jha, Rohit K.
Sethi, Alok Kumar
Francis, Mariea
Syed, Afroz K.
author_facet Vengail, Sukumaran
Ajmeera, Rajunaik
Jha, Rohit K.
Sethi, Alok Kumar
Francis, Mariea
Syed, Afroz K.
author_sort Vengail, Sukumaran
collection PubMed
description INTRODUCTION: Pancreatic trauma is uncommon and challenging to diagnose. Contrarily, severe injuries to the kidney, spleen, and liver are frequent and typically easy to detect with imaging methods. Pancreas injuries can cause a significant amount of morbidity and mortality. Reviewing the institution’s experience with this rather infrequent injury was the goal of this study. MATERIALS AND METHOD: The patients’ records were collected from the data records at the tertiary care center for patients who had pancreatic damage and were followed up for a year. The American Association for the Surgery of Trauma pancreatic damage grade scores were assigned to each patient using the radiologic and surgical findings. Clinical examination and CT results were predominantly used to make the diagnosis in patients who underwent non-operative treatment. The data are presented as descriptive statistics. RESULTS: Only 2.2% of the total cases that presented to the trauma center were finalized as pancreatic injuries. Trauma to the abdomen was seen in nearly half the cases brought. Most of the subjects in pancreatic injuries were in grade 3. Mortality was noted maximum for the grade 3 and 4 cases. CONCLUSIONS: While high-grade pancreatic injury almost always requires an operational intervention, low-grade pancreatic injury with an intact main pancreatic duct may be effectively handled non-operatively. When possible, distal pancreatectomy with spleen preservation is the ideal procedure for distal pancreatic trans-action. A patient who is hemodynamically stable with complex pancreaticoduodenal damage, which is related to a high death rate, should undergo Whipple resection.
format Online
Article
Text
id pubmed-10466639
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-104666392023-08-31 Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research Vengail, Sukumaran Ajmeera, Rajunaik Jha, Rohit K. Sethi, Alok Kumar Francis, Mariea Syed, Afroz K. J Pharm Bioallied Sci Original Article INTRODUCTION: Pancreatic trauma is uncommon and challenging to diagnose. Contrarily, severe injuries to the kidney, spleen, and liver are frequent and typically easy to detect with imaging methods. Pancreas injuries can cause a significant amount of morbidity and mortality. Reviewing the institution’s experience with this rather infrequent injury was the goal of this study. MATERIALS AND METHOD: The patients’ records were collected from the data records at the tertiary care center for patients who had pancreatic damage and were followed up for a year. The American Association for the Surgery of Trauma pancreatic damage grade scores were assigned to each patient using the radiologic and surgical findings. Clinical examination and CT results were predominantly used to make the diagnosis in patients who underwent non-operative treatment. The data are presented as descriptive statistics. RESULTS: Only 2.2% of the total cases that presented to the trauma center were finalized as pancreatic injuries. Trauma to the abdomen was seen in nearly half the cases brought. Most of the subjects in pancreatic injuries were in grade 3. Mortality was noted maximum for the grade 3 and 4 cases. CONCLUSIONS: While high-grade pancreatic injury almost always requires an operational intervention, low-grade pancreatic injury with an intact main pancreatic duct may be effectively handled non-operatively. When possible, distal pancreatectomy with spleen preservation is the ideal procedure for distal pancreatic trans-action. A patient who is hemodynamically stable with complex pancreaticoduodenal damage, which is related to a high death rate, should undergo Whipple resection. Wolters Kluwer - Medknow 2023-07 2023-07-05 /pmc/articles/PMC10466639/ /pubmed/37654379 http://dx.doi.org/10.4103/jpbs.jpbs_494_22 Text en Copyright: © 2023 Journal of Pharmacy and Bioallied Sciences https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Vengail, Sukumaran
Ajmeera, Rajunaik
Jha, Rohit K.
Sethi, Alok Kumar
Francis, Mariea
Syed, Afroz K.
Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title_full Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title_fullStr Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title_full_unstemmed Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title_short Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research
title_sort evaluation of the blunt pancreatic injury, a long-term tertiary care center study: an original research
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466639/
https://www.ncbi.nlm.nih.gov/pubmed/37654379
http://dx.doi.org/10.4103/jpbs.jpbs_494_22
work_keys_str_mv AT vengailsukumaran evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch
AT ajmeerarajunaik evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch
AT jharohitk evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch
AT sethialokkumar evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch
AT francismariea evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch
AT syedafrozk evaluationofthebluntpancreaticinjuryalongtermtertiarycarecenterstudyanoriginalresearch