Traumatic pancreatic injuries and treatment outcomes: An observational retrospective study from a high-volume tertiary trauma center.

Autor: Braden LA; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA; Department of Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA, 90509, USA. Electronic address: Lbraden@dhs.lacounty.gov., Minas-Alexander R; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA; Loma Linda University, School of Medicine, 11175 Campus St, Loma Linda, CA, 92350, USA. Electronic address: R.Minasalexander@gmail.com., Love A; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA. Electronic address: Alove5327@gmail.com., Hashem E; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA. Electronic address: ehashem01@gmail.com., Karuman P; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA. Electronic address: drphilipk@gmail.com., Jones AL; Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Ave, Bakersfield, CA, 93306, USA. Electronic address: Amber.Jones@kernmedical.com.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2024 Dec 10, pp. 116142. Date of Electronic Publication: 2024 Dec 10.
DOI: 10.1016/j.amjsurg.2024.116142
Abstrakt: Introduction: This study discusses a tertiary trauma center's experience involving traumatic pancreatic injuries, focusing on identification, management, and complications, aiming to provide a valuable contribution to the literature on pancreatic trauma management.
Methods: We conducted a five year (2019-2023) retrospective analysis utilizing trauma registry data to identified pancreatic injuries in tier 1 and 2 activations. Pancreatic Organ Injury Scaling (OIS) and overall injury severity (ISS) was assessed using AAST scoring. Data was stratified by mechanism, management, associated injuries, and outcomes.
Results: Thirty-one patients suffering firearm (48.4 ​%), stabbing (16.1 ​%), or blunt injuries (35.5 ​%) were investigated. Firearms correlated with diaphragm (P ​= ​0.047), stomach (P ​= ​0.001) and intrabdominal injury count (P = 0.0042). Robust trends were found between OIS, ISS, complication, mortality and many alike.
Conclusion: In penetrating injury, increasing ISS and number of intrabdominal injuries should heighten pancreatic trauma suspicion and lower the threshold for surgical exploration, particularly when involving the diaphragm, stomach, transverse colon or spleen.
Competing Interests: Declaration of competing interest The authors declare no affiliations with or involvement in any organization or entity with any financial or personal interest in the subject matter of materials discussed in this manuscript. Additionally, no artificial intelligence (AI) or AI-assisted technologies were utilized in the writing of this manuscript or at any point while conducting the research discussed. All figures submitted were created by the authors who confirm these are original works and have not been published elsewhere.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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