Management of pancreatic and duodenal trauma in childhood: a university hospital experience over a 10-year period.
Purpose: Duodenal/pancreatic injuries occur in less than 10% of intra-abdominal injuries in pediatric blunt trauma. Isolated duodenal/pancreatic injuries occur in two-thirds of cases, while combined injuries occur in the remaining. This study aimed to investigate pediatric patients with pancreatic a...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 50; no. 4; pp. 1661 - 1670 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180130935&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180130935 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2024 vid: 50 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 180130935 176242130 180130935 180130935 10.1007/s00068-024-02506-x 180130935 ppf: 1661 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Management of pancreatic and duodenal trauma in childhood: a university hospital experience over a 10-year period. aug: au: Mansiroglu, Agah Koray Cesur, Emrullah Firinci, Binali Caglar, Ozgur Yigiter, Murat Salman, Ahmet Bedii affil: Pediatric Surgery, Ministry of Health Sivas State Hospital, Örtülüpınar, Yeni Bulv. No:55, 58040, Sivas, Turkey sug: subj: Duodenum Injuries Pancreas Injuries Disease Management Methods Academic Medical Centers Pediatric Care Human Male Female Infant, Newborn Infant Child, Preschool Child Adolescence Retrospective Design Record Review Descriptive Statistics Severity of Injury Hospitalization Blood Transfusion Death Liver Diseases Cycling Injuries Accidents, Traffic Amylases Blood Tomography, X-Ray Computed Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Purpose: Duodenal/pancreatic injuries occur in less than 10% of intra-abdominal injuries in pediatric blunt trauma. Isolated duodenal/pancreatic injuries occur in two-thirds of cases, while combined injuries occur in the remaining. This study aimed to investigate pediatric patients with pancreatic and duodenal trauma. Methods: Data from 31 patients admitted to Atatürk University, Medical Faculty, Department of Pediatric Surgery for pancreatic/duodenal trauma between 2010 and 2019 were retrospectively analyzed. Age/gender, province of origin, duration before hospital admission, trauma type, injured organs, injury severity, diagnostic and therapeutic modalities, complications, hospitalization duration, blood transfusion requirement, and mortality rate were recorded. Results: Twenty-four patients were male, and 7 were female. The mean age was 9 years. The leading cause was bicycle accidents, with 12 cases, followed by traffic accidents/bumps, with 7 cases each. Comorbid organ injuries accompanied 18 cases. Duodenal trauma was most commonly accompanied by liver injuries (4/8), whereas pancreatic injury by pulmonary injuries (7/23). Serum amylase at initial hospital presentation was elevated in 83.9% of the patients. Thirty patients underwent abdominal CT, and FAST was performed in 20. While 54.8% of the patients were conservatively managed, 45.2% underwent surgery. Conclusion: Because of the anatomical proximity of the pancreas and the duodenum, both organs should be considered being co-affected by a localized trauma. Radiologic confirmation of perforation in duodenal trauma and an intra-abdominal pancreatic pseudocyst in pancreatic trauma are the most critical surgical indications of pancreaticoduodenal trauma. Conservative management's success is increased in the absence of duodenal perforation and cases of non-symptomatic pancreatic pseudocyst. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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