PANCREAS PRESERVING SURGERY IN TRAUMATIC COMPLETE PANCREAS TRANSECTION: A CASE SERIES

Document Type : Original Article

Authors

1 General Surgery Department, Sohag Faculty of Medicine, Egypt

2 Radiology Department, Sohag Faculty of Medicine, Egypt

Abstract

Background: Pancreatic trauma constitutes a great challenge both in diagnosis and in management especially 
complex injuries involving the main pancreatic duct. We aimed at evaluation of outcome of 
pancreaticogastrostomy (PG) as an alternative to distal pancreatectomy or pancreaticojejunostomy (PJ) for 
management of complete pancreas transection in children. 
Patients and Methods: This is a retrospective analysis performed from January 2001 to October 2012 
including children presented to the Trauma department of Sohag University Hospital with complete pancreas 
transection at the neck or central body after blunt trauma managed with distal stump PG. 
Results: Seven cases of complete pancreas transection injuries were managed with pancreas salvage operation 
with two major complications; pancreatic fistula (PF) occurred in one patient which was transient and one 
case with intraabdominal abscess treated with percutaneous drainage. Short term follow-up showed no 
pancreatic insufficiency. In-hospital mortality occurred in 1 patient. Long-term outcome could not be 
assessed.
Conclusion: PG is a good alternative to distal pancreatectomy when dealing with major pancreatic injury 
especially in children if the patient is hemodynamically stable and the surgeon has the experience in 
pancreatic surgery. 

Keywords

The Egyptian Journal of Surgery
Volume 32, Issue 1
January 2013
Pages 25-31

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