Current Diagnosis and Management of Pancreaticoduodenal Injury: A Concise Review
ثبت نشده
چکیده
Owing to the proximity of the pancreas and duodenum, the pathogenesis, diagnosis, and management of pancreaticoduodenal injury, while being distinct are all still interrelated. While management of pancreatic injury is related to injury classification, which may vary greatly from non-surgical intervention, operative therapy, or pancreaticoduodenectomy (PD), identification of pancreatic duct injury is the top priority. Although Magnetic Resonance Cholangiopancreatography (MRCP) and Endoscopic Retrograde Cholangiopancreatography (ERCP) are used as diagnostic modalities for pancreatic duct evaluation, sphincterotomy or stenting by ERCP for duct injury are still controversial. Non-surgical management is recommended for patients that do not have duct injuries. Once duct injury has occurred, appropriate debridement, resection, and reconstruction should be considered. Damage Control Surgery (DCS) is an option for critically ill patients concurrently with appropriate initial treatment and delayed reconstructive procedures. Decisionmaking of duodenal injury also depends on injury classification, and the consensus is primary repair with adequate drainage in case of perforation. Combined pancreaticoduodenal injury is associated with high morbidity and mortality. The effective prevention for pancreaticoduodenal injury-related complications are significant including delicate operation, precise hemostasis, thorough irrigation, and appropriate surgical options.
منابع مشابه
Management of Hypotension and Bradycardia Caused by Spinal Cord Injury. The Usefulness of Midodrine and Methylxanthines
Spinal cord injury is a devastating chronic condition resulting in temporary or permanent motor,sensory or autonomic dysfunction of the cord. The manifestation of spinal cord injury based onthe severity and involved areas could be different. Numerous studies have demonstrated thatbradycardia, hypotension, and orthostatic hypotension are present insignificant number ofpat...
متن کاملManagement of Hypotension and Bradycardia Caused by Spinal Cord Injury. The Usefulness of Midodrine and Methylxanthines
Spinal cord injury is a devastating chronic condition resulting in temporary or permanent motor,sensory or autonomic dysfunction of the cord. The manifestation of spinal cord injury based onthe severity and involved areas could be different. Numerous studies have demonstrated thatbradycardia, hypotension, and orthostatic hypotension are present insignificant number ofpat...
متن کاملPancreaticoduodenal injuries: re-evaluating current management approaches.
BACKGROUND Pancreaticoduodenal injuries are uncommon owing to the protected position of the pancreas and duodenum in the retroperitoneum. Management depends on the extent of injury. This study was undertaken to document outcome of pancreaticoduodenal injuries and to re-evaluate our approach. PATIENTS AND METHODS A prospective study of all patients treated for pancreaticoduodenal trauma in one...
متن کاملIonizing Radiation and Human Gender Proportion at Birth: A Concise Review of the Literature and A Complementary Analysis of Historical and Recent Data
متن کامل
Management of Severe Pancreaticoduodenal Injuries.
Severe pancreaticoduodenal injuries are rare and no surgeon and institute get enough number of cases to acquire expertise. Hence, the management of such injuries remains controversial. We report a case of 28 years male who sustained a severe pancreaticoduodenal injury and was managed with emergency pancreaticoduodenectomy with immediate reconstruction. Various approaches have been described in ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2017