Evolving management of pancreatic injury

Mason Fisher, Karen Brasel

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose of review: In this study we present a concise review of the evolving management of traumatic injury to the pancreas, including diagnostic approaches and options for operative and nonoperative intervention. Recent findings: New diagnostic adjuncts can be used for the evaluation of injury to the pancreas and pancreatic duct. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are used as diagnostic modalities for duct evaluation. ERCP can be therapeutic with sphincterotomy and/or stenting for duct disruption. Computed tomography scan is the initial imaging study of choice for pancreatic injury, but is also used for drainage of pancreatic abscesses or pseudocysts. Summary: Nonoperative management of solid organ injuries is the recommended treatment in hemodynamically stable patients. This strategy is now being successfully applied to pancreatic injuries in specific situations. However, the mainstays of pancreatic injury remain the same. The identification of pancreatic duct injury is the top priority. Management includes distal resection, debridement, and closed suction drainage of pancreatic injuries.

Original languageEnglish (US)
Pages (from-to)613-617
Number of pages5
JournalCurrent Opinion in Critical Care
Volume17
Issue number6
DOIs
StatePublished - Dec 2011
Externally publishedYes

Fingerprint

Wounds and Injuries
Endoscopic Retrograde Cholangiopancreatography
Pancreatic Ducts
Pancreas
Magnetic Resonance Cholangiopancreatography
Suction
Debridement
Abscess
Drainage
Tomography
Therapeutics

Keywords

  • pancreas injury scale
  • pancreas trauma
  • pancreatic injury

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Evolving management of pancreatic injury. / Fisher, Mason; Brasel, Karen.

In: Current Opinion in Critical Care, Vol. 17, No. 6, 12.2011, p. 613-617.

Research output: Contribution to journalArticle

Fisher, Mason ; Brasel, Karen. / Evolving management of pancreatic injury. In: Current Opinion in Critical Care. 2011 ; Vol. 17, No. 6. pp. 613-617.
@article{ebe6ad9beffe4dc1a144126fa461f939,
title = "Evolving management of pancreatic injury",
abstract = "Purpose of review: In this study we present a concise review of the evolving management of traumatic injury to the pancreas, including diagnostic approaches and options for operative and nonoperative intervention. Recent findings: New diagnostic adjuncts can be used for the evaluation of injury to the pancreas and pancreatic duct. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are used as diagnostic modalities for duct evaluation. ERCP can be therapeutic with sphincterotomy and/or stenting for duct disruption. Computed tomography scan is the initial imaging study of choice for pancreatic injury, but is also used for drainage of pancreatic abscesses or pseudocysts. Summary: Nonoperative management of solid organ injuries is the recommended treatment in hemodynamically stable patients. This strategy is now being successfully applied to pancreatic injuries in specific situations. However, the mainstays of pancreatic injury remain the same. The identification of pancreatic duct injury is the top priority. Management includes distal resection, debridement, and closed suction drainage of pancreatic injuries.",
keywords = "pancreas injury scale, pancreas trauma, pancreatic injury",
author = "Mason Fisher and Karen Brasel",
year = "2011",
month = "12",
doi = "10.1097/MCC.0b013e32834cd374",
language = "English (US)",
volume = "17",
pages = "613--617",
journal = "Current Opinion in Critical Care",
issn = "1070-5295",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Evolving management of pancreatic injury

AU - Fisher, Mason

AU - Brasel, Karen

PY - 2011/12

Y1 - 2011/12

N2 - Purpose of review: In this study we present a concise review of the evolving management of traumatic injury to the pancreas, including diagnostic approaches and options for operative and nonoperative intervention. Recent findings: New diagnostic adjuncts can be used for the evaluation of injury to the pancreas and pancreatic duct. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are used as diagnostic modalities for duct evaluation. ERCP can be therapeutic with sphincterotomy and/or stenting for duct disruption. Computed tomography scan is the initial imaging study of choice for pancreatic injury, but is also used for drainage of pancreatic abscesses or pseudocysts. Summary: Nonoperative management of solid organ injuries is the recommended treatment in hemodynamically stable patients. This strategy is now being successfully applied to pancreatic injuries in specific situations. However, the mainstays of pancreatic injury remain the same. The identification of pancreatic duct injury is the top priority. Management includes distal resection, debridement, and closed suction drainage of pancreatic injuries.

AB - Purpose of review: In this study we present a concise review of the evolving management of traumatic injury to the pancreas, including diagnostic approaches and options for operative and nonoperative intervention. Recent findings: New diagnostic adjuncts can be used for the evaluation of injury to the pancreas and pancreatic duct. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are used as diagnostic modalities for duct evaluation. ERCP can be therapeutic with sphincterotomy and/or stenting for duct disruption. Computed tomography scan is the initial imaging study of choice for pancreatic injury, but is also used for drainage of pancreatic abscesses or pseudocysts. Summary: Nonoperative management of solid organ injuries is the recommended treatment in hemodynamically stable patients. This strategy is now being successfully applied to pancreatic injuries in specific situations. However, the mainstays of pancreatic injury remain the same. The identification of pancreatic duct injury is the top priority. Management includes distal resection, debridement, and closed suction drainage of pancreatic injuries.

KW - pancreas injury scale

KW - pancreas trauma

KW - pancreatic injury

UR - http://www.scopus.com/inward/record.url?scp=81155155494&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81155155494&partnerID=8YFLogxK

U2 - 10.1097/MCC.0b013e32834cd374

DO - 10.1097/MCC.0b013e32834cd374

M3 - Article

C2 - 21986464

AN - SCOPUS:81155155494

VL - 17

SP - 613

EP - 617

JO - Current Opinion in Critical Care

JF - Current Opinion in Critical Care

SN - 1070-5295

IS - 6

ER -