Authors: Bindi NaikMathuria
Publish Date: 2016/07/04
Volume: 32, Issue: 8, Pages: 789-794
Abstract
Over a 3year period 2012–2014 123 pancreatic injuries grades II–IV were reported from 19 pediatric trauma centers median 6 range 1–22 Sixtytwo injuries involving injury to the pancreatic duct clear/suspected were reported median 1 range 0–9 Of these 49 were managed with nonoperative management NOM and 51 with operative management Surgeons at the majority 63 of institutions used both approaches Of the operative cases 21 were laparoscopic There was wide variability in clinical management of NOM patients the most common feeding strategy was reported by 52 of centers percutaneous drainage of traumatic pseudocyst by 42 and ERCP early/after pseudocyst by 72 Wide practice variability exists among North American pediatric surgeons regarding both the initial approach to highgrade pancreatic injury and nonoperative management These results highlight the need for a prospective trial to determine the optimal strategy for these patientsMembers of the PTS Pediatric Trauma Society Pancreatic Trauma Study Group and the centers whose data contributed to this survey Richard Falcone MD—Cincinnati Children’s Hospital Cincinnati OH David Mooney MD—Boston Children’s Hospital Boston MA Stephen Fenton MD—Primary Children’s Hospital Salt Lake City UT Adam Vogel MD—St Louis Children’s Hospital St Louis MO Jeffrey Upperman MD and Rita Burke PhD—Children’s Hospital of Los Angeles Los Angeles CA Robert Russell MD—Children’s Hospital of Alabama Birmingham AL Randall Burd MD—Children’s National Hospital Washington DC Brendan Campbell MD—Connecticut Children’s Hospital Hartford CT David Gourlay MD—Children’s Hospital of Wisconsin Milwaukee WI David Gibbs MD—Children’s Hospital of Orange County Orange CA Marianne Beaudin MD—CHU Sainte Justine Montreal Quebec Canada Shahab Abdessalam MD—Children’s Hospital of Omaha Omaha NE Ankush Gosain MD—American Family Children’s Hospital Madison WI Devin Puapong MD—Kapiolani Medical Center for Women and Children Honolulu HI Nathaniel Kreykes MD—Minnesota Children’s Hospital David Jacobs MD—Carolinas Medical Center Charlotte NC Chad Hamner MD—Cook Children’s Medical Center Fort Worth TX Heather Kulp MD—Nemours/duPont Hospital for Children Orlando FL
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