Diagnosis and Management of Blunt Pancreatic Trauma in Children

Open access

Diagnosis and Management of Blunt Pancreatic Trauma in Children

There are still diagnostics problems and variety of opinions about tactics in the treatment of blunt pancreatic injurys. The methods of surgery treatments are more and more replacing the methods of endoscopy and conservative therapy. There is a remarkable diference in the tactic of treatment between adults and children because of the anatomical physiological reasons. Delayed diagnosis of this wounding is connected with heightened morbidity and mortality.

Handlebars injury is the most frequent mechanism of the trauma. The most determinant role in the diagnostics has active examination tactic and arsenal of visual diagnostics methods. Therapy approach must be individualized depending from the hemodynamic status, seriosity of injury, existence of associated injuries and the experience in the institution. After traumatic pseudocysts can be successfully drained in US control or endoscopic to stomach. Children with such injuries must be concentrated if possible in the specialized centers.

Adamson W., Hebra A., Thomas P. et al. Serum amylase and lipase alone are not cost-effective screening methods for pediatric pancreatic trauma // J. Pediatr. Surg., 2003; 38 (3): 35-7

Amirata E., Livingston D., Elcavage J. Octreotide acetate decreases pancreatic complications after pancreatic trauma // Am. J. Surg., 1994; 168 (4): 345-7

Bosboom D., Braam A., Blickman J., Wijnen R. The role of imaging studies in pancreatic injury due to blunt abdominal trauma in children // Eur. J. Radiol., 2006; 59: 3-7

Brown C., Werlin S., Gleenen J. et al. The diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography in children // J. Pediatr. Gastroenterol. Nutr., 1993; 17:19-23

Caronna R., Benedetti M., Morelli A. et al. Clinical effects of laparotomy with perioperative continuous peritoneal lavage and postoperative hemofiltration in patients with severe acute pancreatitis // World J. Emergency Surg., 2009; 4: 45

Chirdan L., Uba A., Yiltok S. Paediatric blunt abdominal trauma: challenges of management in a developing country // Eur.J. Surg., 2007; 17 (2): 90-5

Escobar J., Pereda J., Arduini A. et al. Cross-talk between oxidative stress and proinflammatory cytokines in acute pancreatitis; a kay role for protein phosphatases // Curr. Pharm. Des., 2009; 15 (26): 3027-42

Firstenberg M., Volsko T., Sivit C. et al. Selective management of ediatric pancreatic injuries //J. Of Pediatric Surgery, 1999; 34 (7): 1142-1147

Fritz S., Hartwig W., Lehmann R. et al. Prophylactic antibiotic treatment is superior to therapy on-demand in experimental necrotising pancreatitis // Crit. Care, 2008; 12(6): R141

Gaines B. Intra- abdominal solid organ injury in children: diagnosis and treatment // J. Trauma, 2009; 67 (2): 135

Jobst M., Canty T., Lynch F. Management of pancreatic injury in pediatric blunt abdominal trauma // J. Pediatr. Surg., 2009; 34 (5): 818-824

Jurič I., Pogorelič Z., Biocič M. et al. Management of blunt pancreatic trauma in children // Surg. Today, 2009; 39 (2): 115

Kouchi K., Tanabe M., Yoshida H. et al. Nonoperative management of blunt pancreatic injury in childhood // J. Pediatr. Surg., 2009; 34 (11): 1736-1739

Mattix K., Tataria M., Holmes J. Pediatric pancreatic trauma: predictors of nonoperative management failure and associated outcomes // J. Pediatr.Surg., 2007; 42 (2): 340

Matsuno W., Huang C., Garcia N. et al. Amylase and lipase measurements in paediatric patients with traumatic pancreatic injuries // Injury, 2009; 40 (1): 66-71

Mayer J., Tomczak R., Rau B. et al. Pancreatic injury in severe trauma: early diagnosis and therapy improve the outcome // Dig. Surg., 2002: 19(4): 291-7

Nadler E., Gardner M., Scall L. et al. Management of blunt pancreatic injury in children // J. Trauma, 1999; 47 (6): 1098-103

Nwariaku F., Terracina A., Mileski W. et al. Is octreotide beneficial following pancreatic injury? // Am. J. Surg., 1995: 170 (6): 582-5

Parakh A., Krishnamurthy S., Battacharya M. Ertapenem // Kathmandu Univ. Med. J. (KUMJ), 2009; 7(28): 454-60

Pederzoli P., Bassi C. Randomised multicentre clinical trial of antibiotic prophylaxis // Surg. Gynecol. Obstet., 1993; 175: 480

Pereda J., Sabater L., Aparisi L. et al. Interaction between cytokines and oxidative stress in acute pancreatitis // Curr. Med. Chem., 2006; 13 (23): 2775-87

Powell J., Miles R. Antibiotic prophylaxis in the initial management of acute severe pancreatitis // Br.J. Surg., 1998; 85

Putnam P., Kochoshis S., Orenstein S. et al. Pediatric endoscopic retrograde cholangiopancreatography // Am. J. Gastroenterol., 1991; 86: 824-830

Rescorla R., Plumley D., Sherman S. et al. The efficacy of early ERCP in pediatric pancreatic trauma // J. Pediatr.Surg., 1995; 30: 335-340

Ruszinko V., Willner P., Olah A. Pancreatic injury from blunt abdominal trauma in childhood // Acta Chir. Belg., 2005; 105 (3): 283-6

Sami El-Boghdadly, Zyad al-Yousef, Khalid Al Bedah. Pancreatic injury: an audit and a practical approach // Ann. R. Coll. Surg. Engl., 2000; 82: 258-262

Shaked G., Kleiner O., Finally R. et al. Management of blunt pancreatic injuries in children// European J.of Trauma, 2003; 29:151-5

Shilyansky J., Sena L., Kreller M. Et al. Nonoperative management of pancreatic injuries in children// J. of P. Surg., 1998; 33 (2):343-9

Smith D., Stanley R., Rue L. Delayed diagnosis of pancreatic transection after blunt abdominal trauma // J. Trauma, 1996; 40: 1009-1013

Stringer M. D. Pancreatic trauma in children //Br. J. Surg., 2005; 92 (4): 467-470

Travers B. Rupture of the pancreas // Lancet, 1827; 12: 384

Visrutaratna P., Na-Chiangmai W. Computed tomography of blunt abdominal trauma in children // Singapore Med. J., 2008; 49 (4): 352-359

Wilson R., Tagett J., Pucelik J., Walt A. Pancreatic trauma // J. Trauma, 1967; 7: 543-651

Wood J., Patrick D., Bruny J. et al. Operative vs nonoperative management of blunt pancreatic trauma in children // J. Pediatr.Surg., 2010; 45 (2): 401

Loungnarath R., Blanchard H. Blunt injuries of the pancreas in children // [PUBMED]

Matsuno W., Huang C., Garcia N. et al. Amylase and lipase measurements in paediatric patients with traumatic pancreatic injuries // [PUBMED]

Valentino M., Serra C., Pavlica P. et al. Blunt abdominal trauma: diagnostic performance of contrast-enchanced US in children-initial experience // http://radiology.rsna.org/content/246/3/903.long

Wittendorff H., Fallentin E., Hansen M. Blunt isolated pancreatic trauma. Diagnostic problems-a clinical and radiological challenge // [PUBMED]

Acta Chirurgica Latviensis

The Journal of Riga Stradins University; Latvian Association of Surgeons; Latvian Association of Paediatric Surgeons

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 103 103 9
PDF Downloads 34 34 5