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Digestive Disease Interventions 2018; 02(02): 179-192
DOI: 10.1055/s-0038-1655738
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Multidisciplinary Diagnosis and Management of Pancreatic Trauma

Barclay T. Stewart
1   Department of Surgery, University of Washington, Seattle, Washington
2   Department of Interdisciplinary Health Sciences, Stellenbosch University, Cape Town, South Africa
,
Claire Kalsch Sandstrom
3   Section of Emergency and Trauma Radiology, Department of Radiology, University of Washington, Seattle, Washington
,
Grant O'Keefe
4   Division of Trauma, Burn and Critical Care Surgery, Department of Surgery, University of Washington, Seattle, Washington
,
Bryan Balmadrid
5   Department of Gastroenterology, University of Washington, Seattle, Washington
,
Guy Edward Johnson
6   Division of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington
› Author Affiliations
Further Information

Publication History

12 March 2018

29 March 2018

Publication Date:
31 May 2018 (online)

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Abstract

Pancreatic injury occurs in less than 5% of patients who sustain blunt trauma. However, the significant morbidity and mortality associated with pancreatic injury demands a high index of suspicion, a thorough understanding of diagnostic modalities and management options, and access to a multidisciplinary team versed with care of patients with pancreatic injuries. In addition to conventional diagnostic tools and surgery, use of multidetector computed tomography, magnetic resonance imaging, endoscopic retrograde cholangiopancreatography, and percutaneous techniques have revolutionized the diagnosis and management of these complex injuries. Surgical management is now reserved for injuries found at the time of laparotomy, high-grade injuries, and complications of pancreatic injury not amenable or refractory to percutaneous and endoscopic treatments.

Keywords

pancreas - injury - trauma - CT - MRCP - interventional radiology - ERCP
 

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