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KMID : 0360720130260010018
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Journal of the Korean Society Traumatology
2013 Volume.26 No. 1 p.18 ~ p.21
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A Case of a Traumatic Pancreatic Neck Transection Treated with a Binding Pancreaticogastrostomy
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Sul Young-Hoon
Lee Sang-Il
Cheon Kwang-Sik
Song In-Sang
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Abstract
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Pancreatic injury following blunt abdominal trauma is rare, but it has high morbidity and mortality. Various treatments have been attempted, but none has yet been clearly established. The pancreatic neck transection is usually managed by using a distal pancreatectomy with or without a splenectomy. However, pancreatic insufficiency and the risk of post-splenectomy infection remain significant problems. To avoid these problems in patients with a pancreatic neck transection, one may use a pancreaticoenteric anastomosis as a treatment option, but a pancreatic fistula from the pancreaticoenteric anastomosis remains a significant cause of morbidity and mortality. Recently, several reports proposed the binding pancreaticogastrostomy to minimize the possibility of a postoperative pancreatic fistula developing after pancreatic surgery. Thus, we report a case of a traumatic pancreatic neck transection successfully treated with a binding pancreaticogastrostomy.
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KEYWORD
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Pancreatic neck transection, Bindng pancreaticogastrostomy
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