The Management of Pancreatic Trauma in the Modern Era

Anuradha Subramanian*, Christopher J. Dente, David V. Feliciano

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

112 Scopus citations


Pancreatic trauma presents challenging diagnostic and therapeutic dilemmas to trauma surgeons. Injuries to the pancreas have been associated with reported morbidity rates approaching 45%. If treatment is delayed, these rates may increase to 60%. The integrity of the main pancreatic duct is the most important determinant of outcome after injury to the pancreas. Undiagnosed ductal disruptions produce secondary infections, fistulas, fluid collections, and prolonged stays in the intensive care unit and hospital. This article analyzes the epidemiology, diagnostic approaches, options for nonoperative and operative management, and outcome after blunt and penetrating pancreatic trauma.

Original languageEnglish
Pages (from-to)1515-1532
Number of pages18
JournalSurgical Clinics of North America
Issue number6
StatePublished - Dec 2007
Externally publishedYes


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