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[Duodenal and pancreatic injuries]
P De Angelis1, C Bergaminelli, S Pastore
1Divisione di Chirurgia d'Urgenza, Ospedale S. Maria di Loreto Nuovo, Napoli.
Minerva Chirurgica
|June 22, 2000
Summary
Pancreatic and duodenal injuries are rare but serious abdominal trauma. Associated injuries significantly complicate diagnosis and treatment, leading to high morbidity and mortality rates.
Area of Science:
- Trauma surgery
- Gastrointestinal surgery
Context:
- Pancreatic and duodenal injuries represent a small percentage of abdominal trauma (1-12%).
- These injuries are associated with a high rate of complications (90%) and significant mortality/morbidity (10-40%).
Purpose:
- To report on the incidence, causes, and outcomes of pancreatic and duodenal injuries.
- To highlight the challenges in managing these complex injuries.
Summary:
- A retrospective review of 25 cases (1987-1997) of pancreatic and duodenal injuries.
- Penetrating trauma (gunshot) accounted for 16 cases, blunt trauma for 9.
- Most patients had associated injuries; mortality was 20% and morbidity 24%.
Impact:
- The low incidence and frequent associated lesions complicate diagnosis and treatment.
- Current management approaches yield unsatisfactory results, indicating a need for improved strategies.