Tailored Endoscopic Approaches for Pancreatic Traumatic Injuries

Authors

  • Lorenzo Dioscoridi Digestive and Interventional Endoscopy Unit, ASST GOM Niguarda, Milan, Italy

Keywords:

Pancreatic fistula; Pancreatic traumatic injury; Endoscopic retrograde cholangiopancreatography (ERCP).

Abstract

Pancreatic traumatic injuries should be managed by multidisciplinary approach. Standard redo surgery can be avoided or support-ed by innovative mininvasive approaches both endoscopically and/or radiologically. Pancreatic endotherapy has an increasing role in the management of pancreatic injuries. Understanding the pathophysiology of pancreatic leak is crucial to guide the treatment. Endoscopic treatment must be tailored on the type and site of pancreatic fistula to achieve the optimal clinical outcome: there is not a one-way standard treatment but the best treatment for different types of pancreatic injuries considering both retrograde and endoscopic ultrasound (EUS)-guided approaches.

References

Girard E, Abba J, Arvieux C, et al. Management of pancreatic trauma. J Visc Surg. 2016; 153(4): 259-268. doi: 10.1016/j.jvisc-surg.2016.02.006

Wong YC, Wang LJ, Lin BC, Chen CJ, Lim KE, Chen RJ. CT grading of blunt pancreatic injuries: Prediction of ductal disrup-tion and surgical correlation. J Comput Assist Tomogr. 1997; 21(2): 246-250. doi: 10.1097/00004728-199703000-00014

Mutignani M, Dokas S, Tringali A, et al. Pancreatic leaks and fistulae: An endoscopy-oriented classification. Dig Dis Sci. 2017; 62(10): 2648-2657. doi: 10.1007/s10620-017-4697-5

Mutignani M, Forti E, Pugliese F, et al. Triple stenting to treat a complete Wirsung-to-jejunum anastomotic leak after pancreatico-duodenectomy. Endoscopy. 2018; 50(2): E50-E51. doi: 10.1055/s-0043-122595

Kim S, Kim JW, Jung PY, et al. Diagnostic and therapeutic role of endoscopic retrograde pancreatography in the management of traumatic pancreatic duct injury patients: Single center expe-rience for 34 years. Int J Surg. 2017; 42: 152-157. doi: 10.1016/j. ijsu.2017.03.054 Short Communication | Volume 5 | Number 1|

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Published

2025-09-08

How to Cite

Lorenzo Dioscoridi. (2025). Tailored Endoscopic Approaches for Pancreatic Traumatic Injuries. Pancreas, 5(1), 16–17. Retrieved from https://openventio.us/index.php/POJ/article/view/1085

Issue

Vol. 5 No. 1 (2022): Volume 5 Issue 1 2022

Section

Articles

License

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