Pancreatic Trauma

Traumatic pancreatic injuries are associated with significant morbidity and mortality. The review analyses recent studies on epidemiology, classification, diagnosis treatment of patients injury. Pancreatic injury in abdominal trauma is observed from 3% to 12% cases, the overall mortality ranges 0% 31% largely determined by damage other organs. most widely accepted grading system for defining categories Organ Injury Scaling developed American Association Surgery Trauma. A high index suspicion necessary early diagnosis, since first hours after clinical manifestations laboratory parameters not specific, changes CT picture do correlate severity 20-40% cases. Contrast-enhanced first-line diagnostic tool hemodynamically stable patients. MRI MRCP ERCP used evaluate integrity duct. Nonoperative management recommended grade I II injuries. Patients duct require predominantly surgical treatment. preferred type surgery III more severe (distal resection, drainage damaged area combined endoscopic stenting, or organ-preserving form pancreaticojejunostomy, pancreaticogastrostomy) remains controversial. In case proximal venous confluence, only fairly safe option patient, indications pancreaticoduodenal resection limited concomitant bile duct, duodenum involvement major duodenal papilla, massive bleeding crushed tissues head. Larger prospective warranted better trauma.