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• W2078393625 abstract "We present our experience with the rare injury of isolated major pancreatic duct disruption.From 1997 to 2003, 3 females and 13 males whose age ranged from 4 to 46 years were identified. Stabs caused 2 and blunt trauma 14 injuries. Nine presented acutely. Delay occurred in 7 patients, 6 with pseudocysts and 1 with infected pancreatic necrosis.Nine cases were managed in the acute phase: 6 by splenic-preserving distal pancreatectomy and 2 by distal pancreatico-enteric anastomosis; 1 was drained. A small pseudocyst and transient pancreatic fistula were the only complications. The 6 cases with pseudocysts were managed endoscopically. Five were stented and 1 was drained without stent. Four had resolution. Two had stent cyst migration. One required a pancreaticojejunostomy and another distal pancreatectomy. One patient died of infected pancreatic necrosis. Long-term outcome could not be assessed.In the acute situation, resection or distal pancreatico-enteric anastomoses are attainable with low morbidity. Endoscopic pseudocyst management options are feasible, with good short-term resolution. Giant cysts may be better managed operatively." @default.
• W2078393625 created "2016-06-24" @default.
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• W2078393625 date "2006-04-01" @default.
• W2078393625 modified "2023-10-14" @default.
• W2078393625 title "Isolated main pancreatic duct injuries spectrum and management" @default.
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• W2078393625 doi "https://doi.org/10.1016/j.amjsurg.2005.11.015" @default.
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