The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Treatment of Traumatic Pancreas Injury.
- Author:
Min young JEONG
1
;
Young hwan KIM
;
Kyu hyouck KYOUNG
;
Sung Koo LEE
;
Suk kyung HONG
Author Information
1. Division of Trauma and Surgical Critical Care, Department of General Surgery, University of Ulsan College of Medicine, Asan Medical Center, Korea. skhong94@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Pancreatic duct;
Endoscopic retrograde cholangiopancreatography
- MeSH:
Cholangiopancreatography, Endoscopic Retrograde;
Consensus;
Electronic Health Records;
Humans;
Laparotomy;
Pancreas;
Pancreatic Ducts;
Pancreatic Pseudocyst;
Retrospective Studies
- From:Journal of the Korean Society of Traumatology
2011;24(2):136-142
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Blunt pancreatic injury has a high mortality rate, especially if adequate management is delayed. Although many guidelines exist for diagnosis and treatment, there is no consensus to date. Therefore, we analyzed the role of endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and therapeutic tool for the treatment of traumatic pancreatic injury. METHODS: We retrospectively reviewed the electronic medical records (EMR) database at Asan Medical Center (Seoul, South Korea) to identify all patients diagnosed with trauma to the pancreas between June 2003 and December 2010. Clinical and operative findings, CT (computed tomography) images, and ERCP findings were assessed. RESULTS: A total of 40 patients were evaluated in this study. Of these, 14 patients underwent diagnostic ERCP, and 26 did not. Of the 14 patients who underwent diagnostic ERCP, 5 were found to have normal pancreatic ducts, thereby preventing a needless laparotomy in these patients. Of the patients diagnosed with ductal injury, four were treated with endoscopic intervention, and four underwent an exploratory laparotomy. The remaining patient was treated with radiologic intervention (percutaneous drainage) to manage pancreatic pseudocyst formation. CONCLUSION: Our findings suggest that ERCP is a beneficial diagnostic and therapeutic modality for the treatment of traumatic pancreatic injury.
