Management of pancreatic and duodenal trauma

摘要: Eighty-four patients were treated for pancreatic or duodenal injuries both over a 13 year period. Isolated contusion of the duodenum was managed by drainage only, and disruption with primary closure, coverage closure serosal patch, drainage. Patients distal that involved body tail pancreas total near-total transections underwent pancreatectomy splenectomy. The difficult areas management continue to be type III IV injuries. Extensive resection should reserved those situations in which has been devitalized it is not expected resolution will occur mortality combined severe 64 percent death related associated most cases; however, extensive (Whipple procedure) two cases led because leakage from anastomosis subsequent retroperitoneal infection. Postoperative always include careful attention nutrition.