PURPOSE: The relevance of pancreatic trauma in severely injured patients within a large collective has not been thoroughly analyzed yet. This study aimed at assessing the prevalence of pancreatic trauma in relation to the outcome and the currently established algorithm of treatment. METHODS: Some 51,425 patients from the Trauma Register of the German Society of Trauma Surgery (TR DGU) (1993-2009) were retrospectively analyzed. All patients with an "injury severity score" ≥16, direct admission to a trauma center and subsequent treatment for at least 3 days, age ≥16, and an abdominal injury [abbreviated injury scale (AIS)(abdomen) ≥2] were included. Patients with abdominal trauma (AIS(abdomen) ≥2) were compared with patients with an additional pancreatic trauma (AIS(pancreas) 2-5). RESULTS: Of 51,425 patients, 9,268 (18%) had documented abdominal injuries. Two hundred eighty-four (3.1%) patients with abdominal injury additionally showed a pancreatic injury (AIS(abdomen) ≥2, AIS(pancreas) 2-5) and were analyzed in dependency of the classification of the American Association for the Surgery of Trauma (AAST) organ severity score. AAST-pancreas: II°, 1.9%; III°, 0.6%; IV°, 0.3%; and V°, 0.2%. Patients with leading pancreatic injury (grades IV and V) thereby showed a significant increase of mortality (IV°, 30.0% and V°, 33.3%) and an increase of the need for surgical intervention (IV°, 80.6% and V°: 81.8%). CONCLUSIONS: The results presented here show the prevalence and the outcome of pancreas injury in a large collective within the TR DGU for the first time. Based on the current literature and the findings, a treatment algorithm has been developed.
PURPOSE: The relevance of pancreatic trauma in severely injured patients within a large collective has not been thoroughly analyzed yet. This study aimed at assessing the prevalence of pancreatic trauma in relation to the outcome and the currently established algorithm of treatment. METHODS: Some 51,425 patients from the Trauma Register of the German Society of Trauma Surgery (TR DGU) (1993-2009) were retrospectively analyzed. All patients with an "injury severity score" ≥16, direct admission to a trauma center and subsequent treatment for at least 3 days, age ≥16, and an abdominal injury [abbreviated injury scale (AIS)(abdomen) ≥2] were included. Patients with abdominal trauma (AIS(abdomen) ≥2) were compared with patients with an additional pancreatic trauma (AIS(pancreas) 2-5). RESULTS: Of 51,425 patients, 9,268 (18%) had documented abdominal injuries. Two hundred eighty-four (3.1%) patients with abdominal injury additionally showed a pancreatic injury (AIS(abdomen) ≥2, AIS(pancreas) 2-5) and were analyzed in dependency of the classification of the American Association for the Surgery of Trauma (AAST) organ severity score. AAST-pancreas: II°, 1.9%; III°, 0.6%; IV°, 0.3%; and V°, 0.2%. Patients with leading pancreatic injury (grades IV and V) thereby showed a significant increase of mortality (IV°, 30.0% and V°, 33.3%) and an increase of the need for surgical intervention (IV°, 80.6% and V°: 81.8%). CONCLUSIONS: The results presented here show the prevalence and the outcome of pancreas injury in a large collective within the TR DGU for the first time. Based on the current literature and the findings, a treatment algorithm has been developed.
Authors: S Lendemans; M Heuer; D Nast-Kolb; C A Kühne; M Dammann; R Lefering; S Flohé; S Ruchholtz; G Taeger Journal: Unfallchirurg Date: 2008-04 Impact factor: 1.000
Authors: Stefan Huber-Wagner; Rolf Lefering; Lars-Mikael Qvick; Markus Körner; Michael V Kay; Klaus-Jürgen Pfeifer; Maximilian Reiser; Wolf Mutschler; Karl-Georg Kanz Journal: Lancet Date: 2009-03-25 Impact factor: 79.321
Authors: M A Croce; T C Fabian; P G Menke; L Waddle-Smith; G Minard; K A Kudsk; J H Patton; M J Schurr; F E Pritchard Journal: Ann Surg Date: 1995-06 Impact factor: 12.969
Authors: Matthias Heuer; Björn Hussmann; Rolf Lefering; Gernot M Kaiser; Christoph Eicker; Olaf Guckelberger; Sven Lendemans Journal: Langenbecks Arch Surg Date: 2015-02-14 Impact factor: 3.445
Authors: Oliver Strobel; Lutz Schneider; Sebastian Philipp; Stefan Fritz; Markus W Büchler; Thilo Hackert Journal: Langenbecks Arch Surg Date: 2015-07-07 Impact factor: 3.445
Authors: Suman B Koganti; Ravikanth Kongara; Sateesh Boddepalli; Naushad Shaik Mohammad; Venumadhav Thumma; Bheerappa Nagari; R A Sastry Journal: Ann Med Surg (Lond) Date: 2016-08-09
Authors: Poppy Addison; Toni Iurcotta; Leo I Amodu; Geoffrey Crandall; Meredith Akerman; Daniel Galvin; Annemarie Glazer; Nathan Christopherson; Jose Prince; Matthew Bank; Christopher Sorrentino; Joaquin Cagliani; Jeffrey Nicastro; Gene Coppa; Ernesto P Molmenti; Horacio L Rodriguez Rilo Journal: Burns Trauma Date: 2016-12-09