Pancreaticoduodenectomy in trauma patients with grade IV-V duodenal or pancreatic injuries: a post hoc analysis of an EAST multicenter trial.
| Title: | Pancreaticoduodenectomy in trauma patients with grade IV-V duodenal or pancreatic injuries: a post hoc analysis of an EAST multicenter trial. |
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| Authors: | Choron RL; Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Piplani C; Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Kuzinar J; Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Teichman AL; Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Bargoud C; Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Sciarretta JD; Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.; Smith RN; Trauma/Surgical Critical Care, Emory University School of Medicine, Atlanta, Georgia, USA.; Hanos D; Grady Memorial Hospital Corp, Atlanta, Georgia, USA.; Afif IN; Temple University Hospital, Philadelphia, Pennsylvania, USA.; Beard JH; Surgery, Temple University, Philadelphia, Pennsylvania, USA.; Dhillon NK; R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA.; Zhang A; University of Maryland School of Medicine, Baltimore, Maryland, USA.; Ghneim M; R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA.; Devasahayam R; Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Gunter O; Trauma/Surgical Critical Care, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.; Smith AA; Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.; Sun B; Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.; Cao CS; University of Kentucky, Lexington, Kentucky, USA.; Reynolds JK; University of Kentucky, Lexington, Kentucky, USA.; Hilt LA; Medical College of Wisconsin, Milwaukee, Wisconsin, USA.; Holena DN; Medical College of Wisconsin, Milwaukee, Wisconsin, USA.; Chang G; Surgery, Mount Sinai Hospital, Chicago, Illinois, USA.; Jonikas M; Department of Surgery, Mount Sinai Hospital, Chicago, Illinois, USA.; Echeverria-Rosario K; Cooper University Hospital Regional Trauma Center, Camden, New Jersey, USA.; Fung NS; Riverside University Health System Medical Center, Moreno Valley, California, USA.; Anderson A; Indiana University Health Methodist Hospital, Indianapolis, Indiana, USA.; Fitzgerald CA; The University of Texas Southwestern Medical Center, Dallas, Texas, USA.; Dumas RP; UT Southwestern Medical, Dallas, Texas, USA.; Levin JH; Indiana University Health Methodist Hospital, Indianapolis, Indiana, USA.; Trankiem CT; MedStar Washington Hospital Center, Washington, District of Columbia, USA.; Yoon J; MedStar Washington Hospital Center, Washington, District of Columbia, USA.; Blank J; University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.; Hazelton JP; WellSpan Health, York, Pennsylvania, USA.; McLaughlin CJ; Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.; Al-Aref R; Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA.; Kirsch JM; Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA.; Howard DS; Boston Medical Center, Boston, Massachusetts, USA.; Scantling DR; Boston Medical Center, Boston, Massachusetts, USA.; Dellonte K; University of Rochester, Rochester, New York, USA.; Vella MA; Surgery, University of Rochester Medical Center, Rochester, New York, USA.; Hopkins B; McGill University, Montreal, Quebec, Canada.; Shell C; WakeMed Health and Hospitals, Raleigh, North Carolina, USA.; Udekwu P; Surgery, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.; Wong EG; McGill University, Montreal, Quebec, Canada.; Joseph B; University of Arizona Medical Center - University Campus, Tucson, Arizona, USA.; Lieberman H; Jackson Memorial Hospital, Miami, Florida, USA.; Ramsey WA; Jackson Memorial Hospital, Miami, Florida, USA.; Stewart CH; University of Arizona Medical Center - University Campus, Tucson, Arizona, USA.; Alvarez C; University of California Irvine School of Medicine, Irvine, California, USA.; Berne JD; Broward Health Medical Center, Fort Lauderdale, Florida, USA.; Nahmias J; University of California Irvine School of Medicine, Irvine, California, USA.; Puente I; Broward Health Medical Center, Fort Lauderdale, Florida, USA.; Patton J; Surgery, Henry Ford Hospital, Detroit, Michigan, USA.; Rakitin I; Henry Ford Hospital, Detroit, Michigan, USA.; Perea L; Lancaster General Health, Lancaster, Pennsylvania, USA.; Pulido O; Lancaster General Health, Lancaster, Pennsylvania, USA.; Ahmed H; Surgery, Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, Texas, USA.; Keating J; Hartford Hospital, Hartford, Connecticut, USA.; Kodadek LM; Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.; Yale New Haven Hospital, New Haven, CT, USA.; Wade J; Hartford Hospital, Hartford, Connecticut, USA.; Reynold H; Oregon Health & Science University, Portland, Oregon, USA.; Schreiber M; Surgery, Oregon Health and Science University, Portland, Oregon, USA.; Benjamin A; The University of Chicago Medicine, Chicago, Illinois, USA.; Khan A; The University of Chicago Medicine, Chicago, Illinois, USA.; Mann LK; Spartanburg Regional Medical Center, Spartanburg, South Carolina, USA.; Mentzer C; Department of Surgery, University of Texas McGovern Medical School, Houston, Texas, USA.; Mousafeiris V; University General Hospital of Patras, Patra, Greece.; Mulita F; University General Hospital of Patras, Patra, Greece.; Reid-Gruner S; Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.; Sais E; Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.; Foote CW; Trauma Services Department, South Texas Health System, McAllen, Texas, USA.; Palacio CH; South Texas Health System, Edinburg, Texas, USA.; Argandykov D; Massachusetts General Hospital, Boston, Massachusetts, USA.; Kaafarani H; Massachusetts General Hospital, Boston, Massachusetts, USA.; Bover Manderski MT; Rutgers School of Public Health, Piscataway, New Jersey, USA.; Moko L; Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Narayan M; Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.; Seamon M; University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. |
| Source: | Trauma surgery & acute care open [Trauma Surg Acute Care Open] 2024 Dec 20; Vol. 9 (1), pp. e001438. Date of Electronic Publication: 2024 Dec 20 (Print Publication: 2024). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: BMJ Country of Publication: England NLM ID: 101698646 Publication Model: eCollection Cited Medium: Internet ISSN: 2397-5776 (Electronic) Linking ISSN: 23975776 NLM ISO Abbreviation: Trauma Surg Acute Care Open Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ, [2016]- |
| Abstract: | Introduction: The utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV-V pancreaticoduodenal injuries.; Methods: This is a retrospective, multicenter analysis from 35 level 1 trauma centers from January 2010 to December 2020. Included patients were ≥15 years of age with the American Association for the Surgery of Trauma grade IV-V duodenal and/or pancreatic injuries. The study compared operative repair strategy: PD versus non-PD.; Results: The sample (n=95) was young (26 years), male (82%), with predominantly penetrating injuries (76%). There was no difference in demographics, hemodynamics, or blood product requirement on presentation between PD (n=32) vs non-PD (n=63). Anatomically, PD patients had more grade V duodenal, grade V pancreatic, ampullary, and pancreatic ductal injuries compared with non-PD patients (all p |
| Competing Interests: | None declared. |
| Comments: | Comment in: Trauma Surg Acute Care Open. 2025 Jan 16;10(1):e001684. doi: 10.1136/tsaco-2024-001684.. (PMID: 39845987) |
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| Contributed Indexing: | Keywords: abdominal injuries; duodenum; multiple trauma; pancreas |
| Entry Date(s): | Date Created: 20241224 Latest Revision: 20250123 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11664373 |
| DOI: | 10.1136/tsaco-2024-001438 |
| PMID: | 39717488 |
| Database: | MEDLINE |
Journal Article