Endoscopic Transpapillary Stenting of Pancreatic Duct in Pancreatic Trauma AAST III: Clinical Observation

Cover Page

Cite item

Full Text

Abstract

Summary. Pancreatic trauma is an infrequent injury of abdominal organs in patients with severe combined trauma, characterized by severe course and high mortality. In its treatment timely diagnosis and correctly chosen treatment tactics are of paramount importance. The experience of successful non-surgical treatment of a 34-year old patient with closed abdominal trauma including pancreas injury (incomplete rupture in the isthmus area — AAST III), obtained after falling from the 11th floor is described.

About the authors

A. E. Voynovskiy

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation; Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Professor of the Department of Hospital Surgery of the Institute of Clinical Medicine named after N.V. Sklifosovskiy; Deputy Chief Emergency Surgery Doctor Moscow

I. A. Semenenko

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation; Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Moscow

A. A. Pashkovskaya

Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Moscow

T. G. Dyuzheva

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation

Email: voinovsky@mail.ru
Moscow

S. A. Grashchenko

Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Moscow

A. V. Klimova

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation

Email: voinovsky@mail.ru
Moscow

M. V. Tokarev

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation; Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Moscow

A. P. Shirkunov

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation; Yudin Moscow State Clinical Hospital of the Moscow City Health Department

Email: voinovsky@mail.ru
Moscow

References

  1. Malkov I.S., Ignatyeva N.M. Diagnostics and Tactics of Surgical Treatment of Patients with Pancreatic Injury. Prakticheskaya Meditsina = Practical Medicine. 2016;97;5:80-82 (In Russ.).
  2. Kshirsagar A.Y., Vekariya M.A., Pednekar A.S., Mahna A., Gupta V., Patankar R., et al. Isolated Pancreatic Tail Injury: A Rare Presentation. Annals of Medicine and Surgery. 2015;4;3:230-232.
  3. Moschetta M. Pancreatic Trauma: The Role of Computed Tomography for Guiding Therapeutic Approach. World J. Radiol. 2015;7;11:415.
  4. Ayoob A.R., Lee J.T., Herr K., Lebedis C.A., Jain A., Soto J.A., et al. Pancreatic Trauma: Imaging Review and Management Update. Radiographics. 2021;41;1:58-74.
  5. Byrge N., Heilbrun M., Winkler N., Sommers D., Evans H., Cattin L.M., et al. An AAST-MITC Analysis of Pancreatic Trauma: Staple or Sew? Resect or Drain? J. Trauma. 2018;85;3:435-443.
  6. Krige J.E.J., Kotze U.K., Navsaria P.H., Nicol A.J. Endoscopic and Operative Treatment of Delayed Complications after Pancreatic Trauma: An Analysis of 27 Civilians Treated in an Academic Level 1 Trauma Centre. Pancreatology. 2015;15;5:563-569.
  7. Delcenserie R., Ricard J., Yzet T., Rebibo L., Regimbeau J.M. Conservative Endoscopic Management for Pancreatic Trauma. J. Visc. Surg. 2016;153;5:391-394.
  8. Wen X., Liu D., Zhang B., Xiao L., Yan H., Liu W. The Bridge Stenting-Based Internal Drainage in Pancreatic Trauma Patients with Main Pancreatic Duct Injury. Updates Surg. 2020;72;3:717-726.
  9. Ho V.P., Patel N.J., Bokhari F., Madbak F.G., Hambley J.E., Yon J.R., et al. Management of Adult Pancreatic Injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. J. Trauma. 2017;82;1:185-199.
  10. Ando Y., Okano K., Yasumatsu H., Okada T., Mizunuma K., Takada M., et al. Current Status and Management of Pancreatic Trauma with Main Pancreatic Duct Injury: A Multicenter Nationwide Survey in Japan. J. Hepatobiliary Pancreat Sci. 2021;28;2:183-191.
  11. Galperin E.I., Dyuzheva T.G., Shefer A.V., Kotovskiy A.E., Semenenko I.A., Mudryak D.L. Early Interventions for Disconnected Pancreatic Duct Syndrome in Acute Pancreatitis. Annaly Khirurgicheskoy Gepatologii = Annals of HPB Surgery . 2021;26;2:25-31 (In Russ.).
  12. Soreide K., Weiser T.G., Parks R.W. Clinical Update on Management of Pancreatic Trauma. HPB (Oxford). 2018;20;12:1099-1108. doi: 10.1016/j.hpb.2018.05.009.
  13. Björnsson B., Kullman E., Gasslander T., Sandström P. Early Endoscopic Treatment of Blunt Traumatic Pancreatic Injury. Scandinavian Journal of Gastroenterology. 2015;50;12:1435-1443.
  14. Iacono C., Zicari M., Conci S., Valdegamberi A., de Angelis M., Pedrazzani C., et al. Management of Pancreatic Trauma: A Pancreatic Surgeon’s Point of View. Pancreatology. 2016;16;3:302-308.
  15. Coccolini F., Kobayashi L., Kluger Y., Moore E., Ansaloni L., Biffl W., et al. Duodeno-Pancreatic and Extrahepatic Biliary Tree Trauma: WSES-AAST Guidelines. World Journal of Emergency Surgery. 2019;14:56.
  16. Voynovskiy A.E., Semenenko I.A., Kuptsov A.S. Use of Innovative Technologies in the Treatment of Patients with Severe Concomitant Injury with Liver Damage. Meditsina Katastrof = Disaster Medicine. 2021;4:61-63 (In Russ.).
  17. Chikhladze S., Ruess D.A., Schoenberger J., Fichtner-Feigl S., Pratschke J., Hopt U.T., et al. Clinical Course and Pancreas Parenchyma Sparing Surgical Treatment of Severe Pancreatic Trauma. Injury. 2020;51;9:1979-1986.
  18. Kim S., Kim J.W., Jung P.Y., Kwon H.Y., Shim H., Jang J.Y., et al. Diagnostic and Therapeutic Role of Endoscopic Retrograde Pancreatography in the Management of Traumatic Pancreatic Duct Injury Patients: Single Center Experience for 34 Years. International Journal of Surgery. 2017;42;3:152-157.
  19. Kanno H., Hirakawa Y., Yasunaga M., Midorikawa R., Taniwaki S., Uchino Y., et al. Successful Nonoperative Management by Endoscopic and Percutaneous Drainage for Penetrating Pancreatic Duct Injury: a Case Report. J. Med. Case Rep. 2021;15;1.
  20. Menahem B., Lim C., Lahat E., Salloum C., Osseis M., Lacaze L., et al. Conservative and Surgical Management of Pancreatic Trauma in Adult Patients. Hepatobiliary Surg. Nutr. 2016;5;6:470-477.

Supplementary files

Supplementary Files
Action
1. JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).