Revista de tratamiento y trastornos del estrés traumático

The Diagnosis and Treatment of Pancreas Injury: A Report of 26 Cases

Chen Tianjin, Gao Hong, Wei Zhangying, Mu Dean, Gong Jianping and Guo Can

The Diagnosis and Treatment of Pancreas Injury: A Report of 26 Cases

Objective: To investigate the diagnosis and treatment of pancreatic injury.
Methods: A retrospective analysis of 26 patients with pancreatic injury was performed.
Results: According to the Organ Injury Scaling Committee of the American Association for the Surgery of Trauma (AAST), there were12 in grade I, 7 in grade II, 4 in grade III, 2 in grade IV, 1 in grade V. In 26 patients, proximal pancreatic suture and distal pancreatectomy were performed in 2 cases; proximal pancreatic suture and distal pancreatic-jejunum Roux-en-Y anastomosis were performed in 4 cases, pancreatic head-jejunum Roux-en-Y anastomosis were performed in 2 cases, simple pancreas repair in 8 cases and simple pancreas drainage were performed in 10 cases. 24 patients were cured and 2 died in the end.
Conclusion: Early diagnosis of pancreatic injury is difficult and early surgery should be done once the injury is suspected. Depending on the grade of pancreatic injury, the surgical management including drainage, nutrition after operation is very important.