Pancreaticoduodenectomy in trauma patients with grade IV–V duodenal or pancreatic injuries: a post hoc analysis of an EAST multicenter trial

IntroductionThe utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV–V pancreaticoduodenal injuries.Me...

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Veröffentlicht in:Trauma surgery & acute care open 2024-12, Vol.9 (1), p.e001438
Hauptverfasser: Choron, Rachel Leah, Piplani, Charoo, Kuzinar, Julia, Teichman, Amanda L, Bargoud, Christopher, Sciarretta, Jason D, Smith, Randi N, Hanos, Dustin, Afif, Iman N, Beard, Jessica H, Dhillon, Navpreet Kaur, Zhang, Ashling, Ghneim, Mira, Devasahayam, Rebekah, Gunter, Oliver, Smith, Alison A, Sun, Brandi, Cao, Chloe S, Reynolds, Jessica K, Hilt, Lauren A, Holena, Daniel N, Chang, Grace, Jonikas, Meghan, Echeverria-Rosario, Karla, Fung, Nathaniel S, Anderson, Aaron, Fitzgerald, Caitlin A, Dumas, Ryan Peter, Levin, Jeremy H, Trankiem, Christine T, Yoon, JaeHee, Blank, Jacqueline, Hazelton, Joshua P, McLaughlin, Christopher J, Al-Aref, Rami, Kirsch, Jordan Michael, Howard, Daniel S, Scantling, Dane R, Dellonte, Kate, Vella, Michael A, Hopkins, Brent, Shell, Chloe, Udekwu, Pascal, Wong, Evan G, Joseph, Bellal, Lieberman, Howard, Ramsey, Walter A, Stewart, Collin H, Alvarez, Claudia, Berne, John D, Nahmias, Jeffry, Puente, Ivan, Patton, Joe, Rakitin, Ilya, Perea, Lindsey, Pulido, Odessa, Ahmed, Hashim, Keating, Jane, Kodadek, Lisa M, Wade, Jason, Henry, Reynold, Schreiber, Martin, Benjamin, Andrew, Khan, Abid, Mann, Laura K, Mentzer, Caleb, Mousafeiris, Vasileios, Mulita, Francesk, Reid-Gruner, Shari, Sais, Erica, Foote, Christopher W, Palacio, Carlos H, Argandykov, Dias, Kaafarani, Haytham, Bover Manderski, Michelle T, Moko, Lilamarie, Narayan, Mayur, Seamon, Mark
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Sprache:eng
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Zusammenfassung:IntroductionThe utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV–V pancreaticoduodenal injuries.MethodsThis is a retrospective, multicenter analysis from 35 level 1 trauma centers from January 2010 to December 2020. Included patients were ≥15 years of age with the American Association for the Surgery of Trauma grade IV–V duodenal and/or pancreatic injuries. The study compared operative repair strategy: PD versus non-PD.ResultsThe sample (n=95) was young (26 years), male (82%), with predominantly penetrating injuries (76%). There was no difference in demographics, hemodynamics, or blood product requirement on presentation between PD (n=32) vs non-PD (n=63). Anatomically, PD patients had more grade V duodenal, grade V pancreatic, ampullary, and pancreatic ductal injuries compared with non-PD patients (all p
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2024-001438