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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2022; 14(6): 538-543
Published online Jun 27, 2022. doi: 10.4240/wjgs.v14.i6.538
Published online Jun 27, 2022. doi: 10.4240/wjgs.v14.i6.538
Indications for the surgical management of pancreatic trauma: An update
Efstathios Theodoros Pavlidis, Kyriakos Psarras, Nikolaos G Symeonidis, Theodoros Efstathios Pavlidis, 2nd Propedeutic Department of Surgery, School of Medicine, Aristotle University, Thessaloniki 54642, Greece
Georgios Geropoulos, Department of General Surgery, University College London Hospitals, London NW1 2BU, United Kingdom
Author contributions: Pavlidis TE designed the research, contributed new analytic tools and analyzed the data; Pavlidis ET performed the research and wrote the paper; Psarras K, Symeonidis NG, Geropoulos G analyzed the data and reviewed the data.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Theodoros Efstathios Pavlidis, PhD, Chief Doctor, Director, Full Professor, Surgeon, 2nd Propedeutic Department of Surgery, School of Medicine, Aristotle University, Konstantinoupoleos 49, Thessaloniki 54642, Greece. pavlidth@auth.gr
Received: January 3, 2022
Peer-review started: January 3, 2022
First decision: March 12, 2022
Revised: March 17, 2022
Accepted: May 12, 2022
Article in press: May 12, 2022
Published online: June 27, 2022
Peer-review started: January 3, 2022
First decision: March 12, 2022
Revised: March 17, 2022
Accepted: May 12, 2022
Article in press: May 12, 2022
Published online: June 27, 2022
Core Tip
Core Tip: Pancreatic trauma management should be individualized based on the exact grade of injury. Damage control surgery is the best approach for severe life-threatening cases. However, in such cases, the presence of severe acute pancreatitis makes safe resection impossible. Endoscopic stent placement into the ruptured pancreatic duct is the best alternative after the acute phase. In cases in which local conditions allow, pancreaticojejunostomy can be performed.