An AAST-MITC analysis of pancreatic trauma: Staple or sew? Resect or drain?
Byrge N, Heilbrun M, Winkler N, Sommers D, Evans H, Cattin LM, Scalea T, Stein DM, Neideen T, Walsh P, Sims CA, Brahmbhatt TS, Galante JM, Phan HH, Malhotra A, Stovall RT, Jurkovich GJ, Coimbra R, Berndtson AE, O'Callaghan TA, Gaspard SF, Schreiber MA, Cook MR, Demetriades D, Rivera O, Velmahos GC, Zhao T, Park PK, Machado-Aranda D, Ahmad S, Lewis J, Hoff WS, Suleiman G, Sperry J, Zolin S, Carrick MM, Mallory GR, Nunez J, Colonna A, Enniss T, Nirula R.
Byrge N, et al.
J Trauma Acute Care Surg. 2018 Sep;85(3):435-443. doi: 10.1097/TA.0000000000001987.
J Trauma Acute Care Surg. 2018.
PMID: 29787527
Among grade III injuries (n = 158, 22.4%), the risk of pancreatic fistula/pseudocyst was reduced when the end of the pancreas was stapled (OR 0.21, 95% CI 0.05-0.9) compared with sewn and was not affected by duct stitch placement. Drainage alone in grades IV (n = 25) and V …
Among grade III injuries (n = 158, 22.4%), the risk of pancreatic fistula/pseudocyst was reduced when the end of the pancreas was stapled (O …