Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

dc.contributor.authorCoccolini, Federico
dc.contributor.authorKobayashi, Leslie
dc.contributor.authorKluger, Yoram
dc.contributor.authorMoore, Ernest E
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorBiffl, Walt
dc.contributor.authorLeppaniemi, Ari
dc.contributor.authorAugustin, Goran
dc.contributor.authorReva, Viktor
dc.contributor.authorWani, Imitiaz
dc.contributor.authorKirkpatrick, Andrew
dc.contributor.authorAbu-Zidan, Fikri
dc.contributor.authorCicuttin, Enrico
dc.contributor.authorFraga, Gustavo P
dc.contributor.authorOrdonez, Carlos
dc.contributor.authorPikoulis, Emmanuil
dc.contributor.authorSibilla, Maria G
dc.contributor.authorMaier, Ron
dc.contributor.authorMatsumura, Yosuke
dc.contributor.authorMasiakos, Peter T
dc.contributor.authorKhokha, Vladimir
dc.contributor.authorMefire, Alain C
dc.contributor.authorIvatury, Rao
dc.contributor.authorFavi, Francesco
dc.contributor.authorManchev, Vassil
dc.contributor.authorSartelli, Massimo
dc.contributor.authorMachado, Fernando
dc.contributor.authorMatsumoto, Junichi
dc.contributor.authorChiarugi, Massimo
dc.contributor.authorArvieux, Catherine
dc.contributor.authorCatena, Fausto
dc.contributor.authorCoimbra, Raul
dc.date.accessioned2019-12-15T01:05:22Z
dc.date.available2019-12-15T01:05:22Z
dc.date.issued2019-12-11
dc.date.updated2019-12-15T01:05:21Z
dc.description.abstractAbstract Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.
dc.identifier.citationWorld Journal of Emergency Surgery. 2019 Dec 11;14(1):56
dc.identifier.doihttps://doi.org/10.1186/s13017-019-0278-6
dc.identifier.urihttp://hdl.handle.net/1880/111346
dc.language.rfc3066en
dc.rights.holderThe Author(s).
dc.titleDuodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines
dc.typeJournal Article
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