J Korean Soc Traumatol.  2013 Mar;26(1):18-21.

A Case of a Traumatic Pancreatic Neck Transection Treated with a Binding Pancreaticogastrostomy

Affiliations
  • 1Department of Surgery, Chungnam National University, College of Medicine, Daejeon, Korea. songis@cnuh.co.kr

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.

Keyword

Pancreatic neck transection; Bindng pancreaticogastrostomy

MeSH Terms

Exocrine Pancreatic Insufficiency
Humans
Neck
Pancreatectomy
Pancreatic Fistula
Splenectomy
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