DISASTER MEDICINE No.2 •2023
https://doi.org/10.33266/2070-1004-2023-2
Original article
Endoscopic Transpapillary Stenting of Pancreatic Duct in Pancreatic Trauma AAST III: Clinical Observation
Voynovskiy A.E. 1,2, Semenenko, I.A. 1,2, Pashkovskaya A.A. 2, Dyuzheva T.G. 1, Grashchenko S.A.2, Klimova A.V. 1, Tokarev M.V. 1,2, Shirkunov A.P.1,2
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1 I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation
2 Yudin Moscow State Clinical Hospital of the Moscow City Health Department
UDC 616.08:616.37-001
Pp. 41–44
Summary. Pancreatic trauma is an infrequent injury of abdominal organs in patients with severe combined trauma, characterized by severe course and high mortality. In its treatment timely diagnosis and correctly chosen treatment tactics are of paramount importance. The experience of successful non-surgical treatment of a 34-year old patient with closed abdominal trauma including pancreas injury (incomplete rupture in the isthmus area — AAST III), obtained after falling from the 11th floor is described.
Keywords: closed abdominal trauma, endoscopic transpapillary stenting, main pancreatic duct, minimally invasive treatment, non-surgical treatment, pancreatic trauma — AAST III, polytrauma, victims with severe combined trauma
Conflict of interest. The authors declare no conflict of interest
For citation: Voynovskiy A.E. Semenenko, I.A., Pashkovskaya A.A., Dyuzheva T.G., Grashchenko S.A., Klimova A.V., Tokarev M.V., Shirkunov A.P. Endoscopic Transpapillary Stenting of Pancreatic Duct in Pancreatic Trauma AAST III: Clinical Observation. Meditsina Katastrof = Disaster Medicine. 2023;2:41-44 (In Russ.). https://doi.org/10.33266/2070-1004-2023-2-41-44
REFERENCES
- Malkov I.S., Ignatyeva N.M. Diagnostics and Tactics of Surgical Treatment of Patients with Pancreatic Injury. Prakticheskaya Meditsina = Practical Medicine. 2016;97;5:80-82 (In Russ.).
- Kshirsagar A.Y., Vekariya M.A., Pednekar A.S., Mahna A., Gupta V., Patankar R., et al. Isolated Pancreatic Tail Injury: A Rare Presentation. Annals of Medicine and Surgery. 2015;4;3:230-232.
- Moschetta M. Pancreatic Trauma: The Role of Computed Tomography for Guiding Therapeutic Approach. World J. Radiol. 2015;7;11:415.
- Ayoob A.R., Lee J.T., Herr K., Lebedis C.A., Jain A., Soto J.A., et al. Pancreatic Trauma: Imaging Review and Management Update. Radiographics. 2021;41;1:58-74.
- Byrge N., Heilbrun M., Winkler N., Sommers D., Evans H., Cattin L.M., et al. An AAST-MITC Analysis of Pancreatic Trauma: Staple or Sew? Resect or Drain? J. Trauma. 2018;85;3:435-443.
- Krige J.E.J., Kotze U.K., Navsaria P.H., Nicol A.J. Endoscopic and Operative Treatment of Delayed Complications after Pancreatic Trauma: An Analysis of 27 Civilians Treated in an Academic Level 1 Trauma Centre. Pancreatology. 2015;15;5:563-569.
- Delcenserie R., Ricard J., Yzet T., Rebibo L., Regimbeau J.M. Conservative Endoscopic Management for Pancreatic Trauma. J. Visc. Surg. 2016;153;5:391-394.
- Wen X., Liu D., Zhang B., Xiao L., Yan H., Liu W. The Bridge Stenting-Based Internal Drainage in Pancreatic Trauma Patients with Main Pancreatic Duct Injury. Updates Surg. 2020;72;3:717-726.
- 9. Ho V.P., Patel N.J., Bokhari F., Madbak F.G., Hambley J.E., Yon J.R., et al. Management of Adult Pancreatic Injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. J. Trauma. 2017;82;1:185-199.
- Ando Y., Okano K., Yasumatsu H., Okada T., Mizunuma K., Takada M., et al. Current Status and Management of Pancreatic Trauma with Main Pancreatic Duct Injury: A Multicenter Nationwide Survey in Japan. J. Hepatobiliary Pancreat Sci. 2021;28;2:183-191.
- Galperin E.I., Dyuzheva T.G., Shefer A.V., Kotovskiy A.E., Semenenko I.A., Mudryak D.L. Early Interventions for Disconnected Pancreatic Duct Syndrome in Acute Pancreatitis. Annaly Khirurgicheskoy Gepatologii = Annals of HPB Surgery. 2021;26;2:25-31 (In Russ.).
- Soreide K., Weiser T.G., Parks R.W. Clinical Update on Management of Pancreatic Trauma. HPB (Oxford). 2018;20;12:1099-1108. doi: 10.1016/j.hpb.2018.05.009.
- Björnsson B., Kullman E., Gasslander T., Sandström P. Early Endoscopic Treatment of Blunt Traumatic Pancreatic Injury. Scandinavian Journal of Gastroenterology. 2015;50;12:1435-1443.
- Iacono C., Zicari M., Conci S., Valdegamberi A., de Angelis M., Pedrazzani C., et al. Management of Pancreatic Trauma: A Pancreatic Surgeon’s Point of View. Pancreatology. 2016;16;3:302-308.
- Coccolini F., Kobayashi L., Kluger Y., Moore E., Ansaloni L., Biffl W., et al. Duodeno-Pancreatic and Extrahepatic Biliary Tree Trauma: WSES-AAST Guidelines. World Journal of Emergency Surgery. 2019;14:56.
- Voynovskiy A.E., Semenenko I.A., Kuptsov A.S. Use of Innovative Technologies in the Treatment of Patients with Severe Concomitant Injury with Liver Damage. Meditsina Katastrof = Disaster Medicine. 2021;4:61-63 (In Russ.).
- Chikhladze S., Ruess D.A., Schoenberger J., Fichtner-Feigl S., Pratschke J., Hopt U.T., et al. Clinical Course and Pancreas Parenchyma Sparing Surgical Treatment of Severe Pancreatic Trauma. Injury. 2020;51;9:1979-1986.
- Kim S., Kim J.W., Jung P.Y., Kwon H.Y., Shim H., Jang J.Y., et al. Diagnostic and Therapeutic Role of Endoscopic Retrograde Pancreatography in the Management of Traumatic Pancreatic Duct Injury Patients: Single Center Experience for 34 Years. International Journal of Surgery. 2017;42;3:152-157.
- Kanno H., Hirakawa Y., Yasunaga M., Midorikawa R., Taniwaki S., Uchino Y., et al. Successful Nonoperative Management by Endoscopic and Percutaneous Drainage for Penetrating Pancreatic Duct Injury: a Case Report. J. Med. Case Rep. 2021;15;1.
- Menahem B., Lim C., Lahat E., Salloum C., Osseis M., Lacaze L., et al. Conservative and Surgical Management of Pancreatic Trauma in Adult Patients. Hepatobiliary Surg. Nutr. 2016;5;6:470-477.
The material was received 30.04.23; the article after peer review procedure 24.05.23; the Editorial Board accepted the article for publication 23.06.23