Operative intervention for complete pancreatic transection in children sustaining blunt abdominal trauma: revisiting an organ salvage technique.

摘要: Complete pancreatic transection (CPT) in children is managed commonly with distal pancreatectomy (DP). Alternatively, Roux-en-Y pancreaticojejunostomy (RYPJ) may be performed to preserve tissue. The purpose of this study was review our experience using either procedure the management sustaining CPT after blunt abdominal trauma. We retrospectively reviewed records all admitted institution during last 15 years who were confirmed at operation have mechanisms. Summary statistics demographic data describe receiving RYPJ or DP. occurred 28 children: had DP, 10 RYPJ, and three cystogastrostomy. children, compared younger (7.5 vs. 12.3 years, P = 0.039) sustained more grade IV injuries (70% 14%, 0.01). DP patients 5.63 times likely tolerate full enteral feeds (P 0.009). Nevertheless, when controlling for age, injury severity score, grade, type did not statistically affect total postoperative lengths stay complications. In operative algorithm CPT, afford an earlier return feeds. seems otherwise equivalent preserves significant glandular tissue spleen.