Background
The presence of an injury to the pancreatic duct system is the most important determinant of the morbidity and mortality associated with blunt pancreatic trauma. Endoscopic retrograde pancreatography provides detailed images of the pancreatic duct and clearly defines the nature of pancreatic duct injury. Compared with operative intervention, we evaluate the effectiveness of endoscopic placement of transpapillary stent in pancreatic trauma.
Patients and Methods: Thirteen patient with pancreas injury from April, 1992 to December 2002 were included in this study. We classified patients according to the treatment method, such as operative intervention or endoscopic placement of transpapillary stent. And demographic information, mode of injury, imaging studies, initial serum amylase, hospital stay and complication were retrospectively reviewed. Results: Eight patients were treated by operative intervention, and another five by endoscopic placement of transpapillary stent. In operative interventional group, mean hospital days were 50.8 days, pancreas specific complication developed in 5 of the 8 were as follws: pseudocyst, intestinal obstruction and enterocutaneous fistula. In endoscopic interventional group, mean hos-pital days were 31.2 days, pancreas specific complications were 2 cases of nonsymtomatic pseudocyst. Conclusion: Endoscopic placement of transpapillary stent is an alternative treatment in pancreatic injury.
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