Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022
Purpose Blunt pancreatic trauma in pediatric patients is relatively rare, yet it is associated with high risks of morbidity and mortality This study aimed to review pediatric patients with blunt pancreatic trauma treated at a single center and provide treatment guidelines. Methods This study include...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0016.pdf |
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| _version_ | 1841527069180166144 |
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| author | Joong Kee Youn Hee-Beom Yang Dayoung Ko Hyun-Young Kim |
| author_facet | Joong Kee Youn Hee-Beom Yang Dayoung Ko Hyun-Young Kim |
| author_sort | Joong Kee Youn |
| collection | DOAJ |
| description | Purpose Blunt pancreatic trauma in pediatric patients is relatively rare, yet it is associated with high risks of morbidity and mortality This study aimed to review pediatric patients with blunt pancreatic trauma treated at a single center and provide treatment guidelines. Methods This study included patients under the age of 18 years who visited our center's pediatric emergency department and were diagnosed with pancreatic injury due to abdominal trauma via radiological examination between January 2007 and December 2022. Patients’ medical records were retrospectively reviewed and analyzed. Results Among 107 patients with abdominal trauma, 14 had pancreatic injury, with a median age of 8.2 years (interquartile range, 3.1–12.3 years). Eight patients were male and six were female. The most common mechanism of injury was falls from a height and bicycle handlebars (four cases each). Six patients had associated injuries. Two patients had American Association for the Surgery of Trauma grade I or II, eight had grade III, and four had grade IV or V injuries. Eight patients underwent surgical resection, and four were discharged with only an intervention for duct injuries. Conclusions Patients with blunt pancreatic trauma at our center have been successfully treated with surgical modalities, and more recently through nonsurgical approaches involving active endoscopic and radiologic interventions. |
| format | Article |
| id | doaj-art-f9a7c5d7053d40c8a6d5dfe301f364b9 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f9a7c5d7053d40c8a6d5dfe301f364b92025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136324224810.20408/jti.2023.00161266Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022Joong Kee Youn0Hee-Beom Yang1Dayoung Ko2Hyun-Young Kim3 Department of Pediatric Surgery, Seoul National University Hospital, Seoul, Korea Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Pediatric Surgery, Seoul National University Hospital, Seoul, Korea Department of Pediatric Surgery, Seoul National University Hospital, Seoul, KoreaPurpose Blunt pancreatic trauma in pediatric patients is relatively rare, yet it is associated with high risks of morbidity and mortality This study aimed to review pediatric patients with blunt pancreatic trauma treated at a single center and provide treatment guidelines. Methods This study included patients under the age of 18 years who visited our center's pediatric emergency department and were diagnosed with pancreatic injury due to abdominal trauma via radiological examination between January 2007 and December 2022. Patients’ medical records were retrospectively reviewed and analyzed. Results Among 107 patients with abdominal trauma, 14 had pancreatic injury, with a median age of 8.2 years (interquartile range, 3.1–12.3 years). Eight patients were male and six were female. The most common mechanism of injury was falls from a height and bicycle handlebars (four cases each). Six patients had associated injuries. Two patients had American Association for the Surgery of Trauma grade I or II, eight had grade III, and four had grade IV or V injuries. Eight patients underwent surgical resection, and four were discharged with only an intervention for duct injuries. Conclusions Patients with blunt pancreatic trauma at our center have been successfully treated with surgical modalities, and more recently through nonsurgical approaches involving active endoscopic and radiologic interventions.http://jtraumainj.org/upload/pdf/jti-2023-0016.pdfabdominal injurieswounds and injuriespancreaspancreatectomy |
| spellingShingle | Joong Kee Youn Hee-Beom Yang Dayoung Ko Hyun-Young Kim Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 Journal of Trauma and Injury abdominal injuries wounds and injuries pancreas pancreatectomy |
| title | Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 |
| title_full | Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 |
| title_fullStr | Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 |
| title_full_unstemmed | Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 |
| title_short | Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022 |
| title_sort | pediatric blunt pancreatic trauma at a single center in korea a retrospective review from 2007 to 2022 |
| topic | abdominal injuries wounds and injuries pancreas pancreatectomy |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0016.pdf |
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