TY  - JOUR
PY  - 2011//
TI  - Blunt pancreatic trauma in children
JO  - Surgery today
A1  - Klin, Baruch
A1  - Abu-Kishk, Ibrahim
A1  - Jeroukhimov, Igor
A1  - Efrati, Yigal
A1  - Kozer, Eran
A1  - Broide, Efrat
A1  - Brachman, Yuri
A1  - Copel, Laurian
A1  - Scapa, Eitan
A1  - Eshel, Gideon
A1  - Lotan, Gad
SP  - 946
EP  - 954
VL  - 41
IS  - 7
N2  - PURPOSE. To report our experience with blunt pancreatic trauma in pediatric patients and evaluate several various management strategies. <br><br>METHODS. Ten children admitted over the last 10 years with pancreatic blunt trauma were included in the present series. <br><br>RESULTS. The average time from injury to hospital admission was 2.4 days. All injuries resulted from accidents: bicycle handlebar injuries (5), being kicked by a horse (2), falls from a height (2), and injury sustained during closure of an electric gate (1). Additional systemic and abdominal injuries were recorded in 7 patients. The amylase levels at the time of patient admission were normal in 3 patients, mildly raised in 4 patients, and elevated in 3 patients. Abdominal computed tomography was performed in 10 patients, ultrasonography in 5, and endoscopic retrograde cholangiopancreatography (ERCP) in 4. Pancreatic injuries comprised 4 grade I, 3 grade II, and 3 grade III injuries. Grade I and II injuries were successfully managed by conservative treatment. The 3 children with grade III trauma and pancreatic ductal injury in the neck (1), body (1), and tail (1) of the gland were surgically treated, having an uneventful postoperative stay of 8-14 days and no complications during the 1-year follow-up period. <br><br>CONCLUSION. The present study supports early ERCP as an essential part of the initial patient evaluation when pancreatic transection is highly suspected.<p /> <p>Language: en</p>
LA  - en
SN  - 0941-1291
UR  - http://dx.doi.org/10.1007/s00595-010-4369-y
ID  - ref1
ER  -