Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm

被引：14

作者：

Moren, Alexis M. ^{[1
,2
,20
]}

Biffl, Walter L. ^{[3
]}

Ball, Chad G. ^{[4
]}

de Moya, Marc ^{[5
]}

Brasel, Karen J.

Brown, Carlos V. R. ^{[6
]}

Hartwell, Jennifer L. ^{[7
]}

Inaba, Kenji ^{[8
]}

Ley, Eric J. ^{[9
]}

Moore, Ernest E. ^{[10
]}

Peck, Kimberly A. ^{[11
]}

Rizzo, Anne G. ^{[12
]}

Rosen, Nelson G. ^{[13
]}

Sperry, Jason L. ^{[14
]}

Weinberg, Jordan A. ^{[15
,16
]}

Coimbra, Raul ^{[17
]}

Shatz, David V. ^{[18
]}

Martin, Matthew J. ^{[19
]}

机构：

[1] Salem Hlth Hosp, Salem, OR USA

[2] Oregon Hlth & Sci Univ, Portland, OR USA

[3] Scripps Mem Hosp La Jolla, La Jolla, CA USA

[4] Univ Calgary, Calgary, AB, Canada

[5] Med Coll Wisconsin, Milwaukee, WI USA

[6] Univ Texas Austin, Dell Med Sch, Austin, TX USA

[7] Univ Kansas, Med Ctr, Kansas City, KS USA

[8] Univ Southern Calif, Los Angeles, CA USA

[9] Cedars Sinai Med Ctr, Los Angeles, CA USA

[10] Ernest Moore Shock Trauma Ctr, Denver, CO USA

[11] Scripps Mercy Hosp, San Diego, CA USA

[12] Guthrie Hlth Syst, Sayre, PA USA

[13] Childrens Hosp, Cincinnati, OH USA

[14] Univ Pittsburgh, Pittsburgh, PA USA

[15] St Josephs Hosp, Phoenix, AZ USA

[16] Med Ctr, Phoenix, AZ USA

[17] Riverside Univ Hlth Syst Med Ctr, Riverside, CA USA

[18] Univ Calif Davis, Davis, CA USA

[19] Keck Sch Med, Los Angeles, CA USA

[20] Salem Hlth, Dept Trauma Crit Care & Acute Care Surg, 890 Oak St SE, Salem, OR 97301 USA

来源：

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY | 2023年 / 94卷 / 03期

关键词：

Blunt trauma; pancreatic trauma; abdominal trauma; Western Trauma Association; algorithm; ENDOSCOPIC RETROGRADE PANCREATOGRAPHY; NONOPERATIVE MANAGEMENT; ENZYME LEVELS; DUCT INJURY; DIAGNOSIS; ULTRASONOGRAPHY; LIPASE;

D O I：

10.1097/TA.0000000000003794

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

BACKGROUND: The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases. Blunt pancreatic trauma falls under one of these clinically complex and rare scenarios. This algorithm is the result of an extensive literature review and input from the WTA membership and WTA Algorithm Committee members.METHODS: Multiple evidence-based guideline reviews, case reports, and expert opinion were compiled and reviewed.RESULTS: The algorithm is attached with detailed explanation of each step, supported by data if available. CONCLUSION: Blunt pancreatic trauma is rare and presents many treatment challenges.Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.

引用

页码：455 / 460

页数：6

共 47 条

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