Two-Stage Trauma Pancreaticoduodenectomy: Delay Facilitates Anastomotic Reconstruction

Leonidas G. Koniaris, Aloke K. Mandal, Thomas Genuit, John L. Cameron

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

A case of a gunshot wound to the head of the pancreas and superior mesenteric vein requiring pancreaticoduodenectomy is discussed. Managing such an injury is challenging, first because of the ongoing hemorrhage and second because of the technical difficulty in working with a normal pancreas and bile duct. In the case presented herein, enteric reconstruction was performed 72 hours after the initial surgery. A delay in reconstruction resulted in tissue changes that facilitated enteric reconstruction. A two-stage pancreaticoduodenectomy may be considered if the surgeon is faced with an unstable patient.

Original languageEnglish (US)
Pages (from-to)366-369
Number of pages4
JournalJournal of Gastrointestinal Surgery
Volume4
Issue number4
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

Keywords

  • Bile duct
  • Pancreas
  • Pancreaticoduodenectomy
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Fingerprint Dive into the research topics of 'Two-Stage Trauma Pancreaticoduodenectomy: Delay Facilitates Anastomotic Reconstruction'. Together they form a unique fingerprint.

  • Cite this