Intraoperative endoscopic retrograde cholangiopancreatography for traumatic pancreatic ductal injuries:Two case reports

作     者：Andrew Canakis Varun Kesar Caleb Hudspath Raymond E Kim Thomas M Scalea Peter Darwin 

作者机构：Division of Gastroenterology and HepatologyUniversity of Maryland School of MedicineBaltimoreMD 21201United States Department of SurgeryR.Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreMD 21201United States 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第5期

页      面：342-350页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Pancreatic ductal injury Pancreatic leaks Endoscopic retrograde cholangiopancreatography Trauma Endoscopic stenting Case report 

摘      要：BACKGROUND In order to successfully manage traumatic pancreatic duct(PD)leaks,early diagnosis and operative management is paramount in reducing morbidity and *** the acute setting,endoscopic retrograde cholangiopancreatography(ERCP)can be a useful,adjunctive modality during exploratory *** with sphincterotomy and stent placement improves preferential drainage in the setting of injury,allowing the pancreatic leak to properly ***,data in this acute setting is *** SUMMARY In this case series,a 27-year-old male and 16-year-old female presented with PD leaks secondary to a gunshot wound and blunt abdominal trauma,*** underwent intraoperative ERCP within an average of 5.9 h from time of presentation.A sphincterotomy and plastic pancreatic stent placement was performed with a 100%technical and clinical *** were no associated immediate or long-term *** discharge,both patients underwent repeat ERCP for stent removal with resolution of ductal *** These experiences further demonstrated that widespread adaption and optimal timing of ERCP may improve outcomes in trauma centers.