Evaluation of the Blunt Pancreatic Injury, a Long-Term Tertiary Care Center Study: An Original Research

• Published in: Journal of pharmacy & bioallied science Vol. 15; no. Suppl 1; pp. S277 - S280
• Main Authors: Vengail, Sukumaran, Ajmeera, Rajunaik, Jha, Rohit, Sethi, Alok, Francis, Mariea, Syed, Afroz
• Format: Journal Article
• Language: English
• Published: Mumbai Medknow Publications and Media Pvt. Ltd 01.07.2023; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: aast; Injuries; injury; Morbidity; Mortality; Original; Pancreas; pancreatic trauma; Patients; Spleen; tertiary care center; Trauma
• ISSN: 0976-4879; 0975-7406
• DOI: 10.4103/jpbs.jpbs_494_22

A BSTRACT Introduction: Pancreatic trauma is uncommon and challenging to diagnose. Contrarily, severe injuries to the kidney, spleen, and liver are frequent and typically easy to detect with imaging methods. Pancreas injuries can cause a significant amount of morbidity and mortality. Reviewing the institution’s experience with this rather infrequent injury was the goal of this study. Materials and Method: The patients’ records were collected from the data records at the tertiary care center for patients who had pancreatic damage and were followed up for a year. The American Association for the Surgery of Trauma pancreatic damage grade scores were assigned to each patient using the radiologic and surgical findings. Clinical examination and CT results were predominantly used to make the diagnosis in patients who underwent non-operative treatment. The data are presented as descriptive statistics. Results: Only 2.2% of the total cases that presented to the trauma center were finalized as pancreatic injuries. Trauma to the abdomen was seen in nearly half the cases brought. Most of the subjects in pancreatic injuries were in grade 3. Mortality was noted maximum for the grade 3 and 4 cases. Conclusions: While high-grade pancreatic injury almost always requires an operational intervention, low-grade pancreatic injury with an intact main pancreatic duct may be effectively handled non-operatively. When possible, distal pancreatectomy with spleen preservation is the ideal procedure for distal pancreatic trans-action. A patient who is hemodynamically stable with complex pancreaticoduodenal damage, which is related to a high death rate, should undergo Whipple resection.