Pancreatic trauma in children

@article{Stringer2005PancreaticTI,
  title={Pancreatic trauma in children},
  author={Mark D. Stringer},
  journal={British Journal of Surgery},
  year={2005},
  volume={92}
}
  • M. Stringer
  • Published 1 April 2005
  • Medicine
  • British Journal of Surgery
Pancreatic trauma is rare in children, and management strategies are diverse and controversial. The aim of this study was to report the outcome of a consecutive series of children with pancreatic injury seen at a single regional centre over a decade. 
View on Wiley
ncbi.nlm.nih.gov
19 Citations
Highly Influential Citations
1
Background Citations
2

19 Citations

Citation Type

Citation Type

Traumatic pancreatic transection treated endoscopically
Paediatric pancreatic trauma: A review of the literature and results of a multicentre survey on patient management.
TLDR
Management of blunt pancreatic trauma in SA is consistent with that reported in the literature, but there is still controversy regarding the optimal management of pancreatic injury involving ducts.
Traumatic pancreatic duct injury in children: minimally invasive approach to management.
CASE OF SUCCESSFUL CURE OF PROXIMAL TRANSECTION PANCREATIC INJURY IN A 6 YEARS CHILDREN
TLDR
Surgical treatment consisted in stenting the main pancreatic duct with a catheter, carrying the latter through a large duodenal nipple, sealing the parenchyma of the gland, and draining the gland bag in the early postoperative period, no complications were noted.
Diagnosis and Management of Blunt Pancreatic Trauma in Children
TLDR
Therapy approach must be individualized depending from the hemodynamic status, seriosity of injury, existence of associated injuries and the experience in the institution, so that children with blunt pancreatic injuries must be concentrated if possible in the specialized centers.
Selective nonoperative management of low-grade blunt pancreatic injury: are we there yet?
TLDR
NOM of LGBPI diagnosed by CT was successful in the majority of HDS patients, with low morbidity and mortality, and a management algorithm is proposed in which the role for early ductal injury detection with endoscopic retrograde cholangio-pancreatogram or magnetic retrogrades should be incorporated.
Operative Intervention for Complete Pancreatic Transection in Children Sustaining Blunt Abdominal Trauma: Revisiting an Organ Salvage Technique
TLDR
In the operative management algorithm of children sustaining CPT, DP may afford an earlier return to full enteral feeds and RYPJ seems otherwise equivalent to DP and preserves significant pancreatic glandular tissue and the spleen.
Laparoscopic cystojejunostomy as a treatment option for pancreatic pseudocysts in children--a case report.
Operative versus non-operative management of blunt pancreatic trauma in children: Systematic review and meta-analysis.
Nonoperative management of pancreatic injuries in pediatric patients
TLDR
The majority of the pancreatic injuries in pediatric patients can be successfully treated conservatively, unless there is hemodynamic instability and a hollow viscus injury.
...
1
2
...

References

SHOWING 1-10 OF 24 REFERENCES
Management of pancreatic pseudocysts in children.
Pancreatic trauma in Scottish children.
TLDR
Pancreatic injury in children is rare, and a high index of suspicion is required to make the diagnosis, and the commonest mechanism is a direct impact to the epigastrium, typically the bicycle handlebar injury.
Conservative management of pancreatic trauma in children.
TLDR
Early intervention for pancreatic injury, in the absence of clinical deterioration or major ductal injury (grades III, IV, or V), is unwarranted, and careful observation may supplant the conventional surgical therapy recommended for adults.
The efficacy of early ERCP in pediatric pancreatic trauma.
Management of major pancreatic duct injuries in children.
TLDR
If stenting is not possible, or fails, distal injuries are best treated by distal pancreatectomy; proximal injuries may be managed nonoperatively, allowing for the formation and uneventful drainage of a pseudocyst.
Failure of percutaneous drainage in children with traumatic pancreatic pseudocysts.
Management of pancreatic injury in pediatric blunt abdominal trauma.
Use of ERCP to identify the site of traumatic injuries of the main pancreatic duct in children
TLDR
Early ERCP is the only reliable method of identifying duct injuries which require urgent surgery and should be considered in all children with blunt pancreatic trauma.
Management of pancreatic and duodenal injuries in pediatric patients
TLDR
Fourteen children with duodenal and/or pancreatic injuries secondary to blunt trauma were treated between 1980 and 1997, and ERCP may be a useful diagnostic procedure.
Surgical management of acute pancreatic injuries in children.
...
1
2
3
...