Blunt pancreatic trauma: Prospective evaluation of early endoscopic retrograde pancreatography

A. Enrique Whittwell, Gerardo A. Gomez, Patricia Byers, David J. Kreis, Howard Manten, V. Javier Casillas

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Abstract

Major ductal injury is a determining factor in the outcome after pancreatic trauma. The purpose of this study was to determine the value of early endoscopic retrograde pancreatography (ERP) in patients with blunt pancreatic trauma. We attempted ERP in nine patients. Indications were abnormal pancreatic findings on CT scanning in five patients, a suboptimal view on CT scanning in three patients, and a high index of suspicion in one patient. ERP was successful in eight patients. Two had major ductal injury treated operatively and were discharged without complications. In six, ERP showed a normal pancreatic duct. These patients were treated conservatively; five were eventually discharged, and one died of necrotizing pneumonia. Our results suggest that ERP is safe and accurate in the diagnosis of blunt pancreatic ductal injuries. If the pancreatic ductal system is intact, conservative management is appropriate, but if ERP shows major ductal injury, surgical intervention is indicated.

Original languageEnglish (US)
Pages (from-to)586-590
Number of pages5
JournalSouthern Medical Journal
Volume82
Issue number5
StatePublished - May 1989

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Wounds and Injuries
Pancreatic Ducts
Intraoperative Complications

ASJC Scopus subject areas

  • Medicine(all)

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Whittwell, A. E., Gomez, G. A., Byers, P., Kreis, D. J., Manten, H., & Casillas, V. J. (1989). Blunt pancreatic trauma: Prospective evaluation of early endoscopic retrograde pancreatography. Southern Medical Journal, 82(5), 586-590.

Blunt pancreatic trauma : Prospective evaluation of early endoscopic retrograde pancreatography. / Whittwell, A. Enrique; Gomez, Gerardo A.; Byers, Patricia; Kreis, David J.; Manten, Howard; Casillas, V. Javier.

In: Southern Medical Journal, Vol. 82, No. 5, 05.1989, p. 586-590.

Research output: Contribution to journalArticle

Whittwell, AE, Gomez, GA, Byers, P, Kreis, DJ, Manten, H & Casillas, VJ 1989, 'Blunt pancreatic trauma: Prospective evaluation of early endoscopic retrograde pancreatography', Southern Medical Journal, vol. 82, no. 5, pp. 586-590.
Whittwell AE, Gomez GA, Byers P, Kreis DJ, Manten H, Casillas VJ. Blunt pancreatic trauma: Prospective evaluation of early endoscopic retrograde pancreatography. Southern Medical Journal. 1989 May;82(5):586-590.
Whittwell, A. Enrique ; Gomez, Gerardo A. ; Byers, Patricia ; Kreis, David J. ; Manten, Howard ; Casillas, V. Javier. / Blunt pancreatic trauma : Prospective evaluation of early endoscopic retrograde pancreatography. In: Southern Medical Journal. 1989 ; Vol. 82, No. 5. pp. 586-590.
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