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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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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 |
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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 |
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