Two-Stage Trauma Pancreaticoduodenectomy: Delay Facilitates Anastomotic Reconstruction

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

Research output: Contribution to journalArticle

23 Citations (Scopus)

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

Fingerprint

Pancreaticoduodenectomy
Pancreas
Mesenteric Veins
Gunshot Wounds
Wounds and Injuries
Bile Ducts
Hemorrhage
Surgeons

Keywords

  • Bile duct
  • Pancreas
  • Pancreaticoduodenectomy
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Two-Stage Trauma Pancreaticoduodenectomy : Delay Facilitates Anastomotic Reconstruction. / Koniaris, Leonidas G.; Mandal, Aloke K.; Genuit, Thomas; Cameron, John L.

In: Journal of Gastrointestinal Surgery, Vol. 4, No. 4, 01.01.2000, p. 366-369.

Research output: Contribution to journalArticle

Koniaris, Leonidas G. ; Mandal, Aloke K. ; Genuit, Thomas ; Cameron, John L. / Two-Stage Trauma Pancreaticoduodenectomy : Delay Facilitates Anastomotic Reconstruction. In: Journal of Gastrointestinal Surgery. 2000 ; Vol. 4, No. 4. pp. 366-369.
@article{929bd0debff94e6ab4a797d2fb097ded,
title = "Two-Stage Trauma Pancreaticoduodenectomy: Delay Facilitates Anastomotic Reconstruction",
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.",
keywords = "Bile duct, Pancreas, Pancreaticoduodenectomy, Trauma",
author = "Leonidas Koniaris and Mandal, {Aloke K.} and Thomas Genuit and Cameron, {John L.}",
year = "2000",
month = "7",
language = "English (US)",
volume = "4",
pages = "366--369",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Two-Stage Trauma Pancreaticoduodenectomy

T2 - Delay Facilitates Anastomotic Reconstruction

AU - Koniaris, Leonidas G.

AU - Mandal, Aloke K.

AU - Genuit, Thomas

AU - Cameron, John L.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - 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.

AB - 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.

KW - Bile duct

KW - Pancreas

KW - Pancreaticoduodenectomy

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=0034218256&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034218256&partnerID=8YFLogxK

U2 - 10.1016/S1091-255X(00)80014-1

DO - 10.1016/S1091-255X(00)80014-1

M3 - Article

C2 - 11058854

AN - SCOPUS:0034218256

VL - 4

SP - 366

EP - 369

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1091-255X

IS - 4

ER -