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Journal of Trauma and Injury 2013;26(1):18-21.
A Case of a Traumatic Pancreatic Neck Transection Treated with a Binding Pancreaticogastrostomy
Young Hoon Sul, Sang Il Lee, Kwang Sik Cheon, In Sang Song
Department of Surgery, Chungnam National University, College of Medicine, Daejeon, Korea. songis@cnuh.co.kr
외상성 췌장 경부 절단에서 시행된 Binding 췌위장문합술 1례
설영훈, 이상일, 전광식, 송인상
충남대학교 의과대학 외과학교실
Received: 1 February 2013   • Revised: 10 February 2013   • Accepted: 26 February 2013
Abstract
Pancreatic injury following blunt abdominal trauma is rare, but it has high morbidity and mortality. Various treatments have been attempted, but none has yet been clearly established. The pancreatic neck transection is usually managed by using a distal pancreatectomy with or without a splenectomy. However, pancreatic insufficiency and the risk of post-splenectomy infection remain significant problems. To avoid these problems in patients with a pancreatic neck transection, one may use a pancreaticoenteric anastomosis as a treatment option, but a pancreatic fistula from the pancreaticoenteric anastomosis remains a significant cause of morbidity and mortality. Recently, several reports proposed the binding pancreaticogastrostomy to minimize the possibility of a postoperative pancreatic fistula developing after pancreatic surgery. Thus, we report a case of a traumatic pancreatic neck transection successfully treated with a binding pancreaticogastrostomy.
Key Words: Pancreatic neck transection; Bindng pancreaticogastrostomy
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