Surgical reconstruction and endoscopic pancreatic stent for traumatic pancreatic duct disruption

Insu Kawahara, Kosaku Maeda, Shigeru Ono, Hiroshi Kawashima, Ryoichi Deie, Satohiko Yanagisawa, Katsuhisa Baba, Yoshiko Usui, Yuki Tsuji, Atsuhisa Fukuta, Sachi Sekine

研究成果: ジャーナルへの寄稿学術誌査読

11 被引用数 (Scopus)

抄録

Nonoperative management is acceptable treatment for minor pancreatic injuries. However, management of major pancreatic duct injury in children remains controversial. We present our experience in treating isolated pancreatic duct injury. We describe the cases of three male patients treated for complete pancreatic duct disruption in the past 5 years at our institution. We performed pancreatic duct repair to avoid distal pancreatectomy and to maintain normal pancreatic function. All patients underwent enhanced computed tomography and endoscopic retrograde cholangiopancreatography in the early period. The injuries were classified as grade III according to the American Association for the Surgery of Trauma classification. In two cases, we performed end-to-end anastomosis of the pancreatic duct during the delayed period. In the third case, we placed a stent across the disruption to the distal pancreatic duct. The patients' postoperative courses were uneventful, and the average hospitalization was 25.6 days after the procedure. At a median follow-up of 36 months (range 14-54 months), all patients remain asymptomatic, with normal pancreatic function, but with persistent distal pancreatic duct dilatation. We suggest that distal pancreatectomy should not be routinely performed in patients with isolated pancreatic duct injury.

本文言語英語
ページ(範囲)951-956
ページ数6
ジャーナルPediatric surgery international
30
9
DOI
出版ステータス出版済み - 9月 2014
外部発表はい

!!!All Science Journal Classification (ASJC) codes

  • 小児科学、周産期医学および子どもの健康
  • 外科

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