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Review
. 2022 Jun 27;14(6):538-543.
doi: 10.4240/wjgs.v14.i6.538.

Indications for the surgical management of pancreatic trauma: An update

Efstathios Theodoros Pavlidis  1 , Kyriakos Psarras  1 , Nikolaos G Symeonidis  1 , Georgios Geropoulos  2 , Theodoros Efstathios Pavlidis  3
Affiliations
Review

Indications for the surgical management of pancreatic trauma: An update

Efstathios Theodoros Pavlidis et al. World J Gastrointest Surg. .

Abstract

Pancreatic trauma is rare compared to other abdominal solid organ injuries, accounting for 0.2%-0.3% of all trauma patients. Moreover, this type of injury may frequently be overlooked or not readily appreciated on initial clinical examinations and investigations. The organ injury scale determines the severity of the trauma. Nonetheless, there are conflicting recommendations for the best strategy in severe cases. Overall, conservative management of induced severe traumatic pancreatitis is adequate. Modern imaging modalities such as ultrasound scanning and computed tomography scanning can detect injuries in fewer than 60% of patients. However, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) have diagnostic accuracies approaching 90%-100%. Thus, management options include ERCP and stent placement or distal pancreatectomy in cases of complete gland transection and wide drainage only for damage control surgery, which can prevent mortality but increases the risk of morbidity. In the majority of cases, surgical intervention is not required and should be reserved for only severe grade III to grade V injuries.

Keywords: Abdominal trauma; Acute pancreatitis; Damage control surgery; Emergency surgery; Pancreas; Pancreatic traumatic injury.

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Conflict of interest statement

Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.

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