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Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines
- Source :
- World Journal of Emergency Surgery : WJES, World Journal of Emergency Surgery, Vol 14, Iss 1, Pp 1-23 (2019), World Journal of Emergency Surgery, 14, 56, World Journal of Emergency Surgery, 14, pp. 56
- Publication Year :
- 2019
- Publisher :
- BioMed Central, 2019.
-
Abstract
- Contains fulltext : 215782.pdf (Publisher’s version ) (Open Access) Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.
- Subjects :
- Percutaneous
Biliary tree
Injury
Review
Abdominal Injuries
0302 clinical medicine
Trauma Centers
Bile Ducts, Extrahepatic
Conservative
Ultrasonography
Pediatric
medicine.diagnostic_test
Bile duct
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Interventional radiology
Classification
Operative
3. Good health
Ampulla
medicine.anatomical_structure
Emergency Medicine
030211 gastroenterology & hepatology
Pancreatic injury
Pancreas
Pediatric trauma
Focused Assessment with Sonography for Trauma
Adult
medicine.medical_specialty
Duodenum
lcsh:Surgery
Peritonitis
Guidelines as Topic
Guidelines
Trauma
03 medical and health sciences
Endoscopic retrograde cholangiopancreatography (ERCP)
medicine
Non-operative
Humans
Endoscopy
Surgery
business.industry
General surgery
030208 emergency & critical care medicine
lcsh:RD1-811
lcsh:RC86-88.9
medicine.disease
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
General Surgery
Triage
business
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 17497922
- Database :
- OpenAIRE
- Journal :
- World Journal of Emergency Surgery : WJES, World Journal of Emergency Surgery, Vol 14, Iss 1, Pp 1-23 (2019), World Journal of Emergency Surgery, 14, 56, World Journal of Emergency Surgery, 14, pp. 56
- Accession number :
- edsair.doi.dedup.....e9dbbec51658c0b2b4e55fabcf8010bf