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Revisão Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

2019; BioMed Central; Volume: 14; Issue: 1 Linguagem: Inglês

10.1186/s13017-019-0278-6

ISSN

1749-7922

Autores

Federico Coccolini, Leslie Kobayashi, Yoram Kluger, Ernest E. Moore, Luca Ansaloni, Walt Biffl, Ari Leppäniemi, Goran Augustin, Viktor Reva, Imitiaz Wani, Andrew W. Kirkpatrick, Fikri M. Abu‐Zidan, Enrico Cicuttin, Gustavo Pereira Fraga, Carlos A. Ordóñez, E. Pikoulis, Maria Grazia Sibilla, Ron Maier, Yosuke Matsumura, Peter T. Masiakos, Vladimir Khokha, Alain Chichom‐Mefire, Rao R. Ivatury, Francesco Favi, Vassil Manchev, Massimo Sartelli, Fernando Osni Machado, Junichi Matsumoto, Massimo Chiarugi, C. Arvieux, Fausto Catena, Raúl Coimbra,

Tópico(s)

Urological Disorders and Treatments

Resumo

Abstract Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.

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