Skip to main content
SpringerLink
Log in

Penetrating Trauma to the Pancreas

  • Chapter
  • First Online:
Penetrating Trauma

  • 1891 Accesses

Abstract

The pancreas is likened to the base player in a band; no one ever knows the name of the base player, but when he is not there, the band falls terribly flat. This rather innocuous gland situated posteriorly in the retroperitoneum is only really taken seriously when it gives trouble, and when it gives trouble, it requires experience and a good knowledge of anatomy and surgical techniques to solve the problems. Penetrating trauma to the pancreas is not very common. Due to its anatomical location and relationship to major vessels, isolated injury to the pancreas is even more rare, and it is usually the associated injuries, often aggravated by the consequences of the pancreatic injury, that result in the fairly high morbidity and mortality associated with pancreatic trauma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Recommended Reading

  1. Degiannis E, Glapa M, Loukogeorgakis SP, Smith MD (2008) Management of pancreatic trauma. Injury 39:21–29

    Article  CAS  PubMed  Google Scholar 

  2. Krige JE (2004) Pancreatic trauma. In: Nicol AJ, Steyn E (eds) Handbook of trauma. Oxford University Press, Cape Town, pp 258–265

    Google Scholar 

  3. Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, McAninch JW, Pachter HL, Shackford SR, Trafton PG (1990) Organ injury scaling, II: pancreas, duodenum, small bowel, colon, and rectum. J Trauma 30:1427–1429

    Article  CAS  PubMed  Google Scholar 

  4. Degiannis E, Levy RD, Velmahos GC, Potokar T, Florizoone MG, Saadia R (1996) Gunshot injuries of the head of the pancreas: conservative approach. World J Surg 20:68–71

    Article  CAS  PubMed  Google Scholar 

  5. Degiannis E, Levy RD, Potokar T, Lennox H, Rowse A, Saadia R (1995) Distal pancreatectomy for gunshot injuries of the distal pancreas. Br J Surg 82:1240–1242

    Article  CAS  PubMed  Google Scholar 

  6. Degiannis E, Krawczykowski D, Velmahos GC, Levy RD, Souter I, Saadia R (1993) Pyloric exclusion in severe penetrating injuries of the duodenum. World J Surg 17:751–754

    Article  CAS  PubMed  Google Scholar 

  7. Degiannis E, Bowley DM, Smith MD (2003) Non-operative management of splenic injury in adults – current management status and controversies. S Afr J Surg 41:33–34

    PubMed  Google Scholar 

  8. Krige JE, Nicol AJ, Navsaria PH, Jones O, Bornman PC (2005) Emergency pancreatoduodenectomy for complex pancreatic trauma. HPB Surg 7:104

    Google Scholar 

  9. Wisner DH, Hoyt DB (1993) Definitive care phase: abdominal injuries. In: Greenfield LJ (ed) Surgery: scientific principles and practice. JP Lippincott, Philadelphia, pp 305–310

    Google Scholar 

  10. Buchler M, Friess H, Klempa I, Hermanek P, Sulkowski U, Becker H, Schafmayer A, Baca I, Lorenz D, Meister R (1992) Role of octreotide in the prevention of postoperative complications following pancreatic resection. Am J Surg 163:125–130

    Article  CAS  PubMed  Google Scholar 

  11. Heitsch RC, Knutson CO, Fulton RL, Jones CE (1976) Delineation of critical factors in the treatment of pancreatic trauma. Surgery 80:523–529

    CAS  PubMed  Google Scholar 

  12. Yilmaz TH, Hauer TJ, Smith MD, Degiannis E, Doll D (2013) Operative techniques in pancreatic trauma – a heuristic approach. Injury 44:153–155

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University of the Witwatersrand Medical School, Hepatopancreaticobilary Unit, Chris Hani Baragwanath Academic Hospital, 7, York Road, Parktown, Johannesburg, 2193, South Africa

    Martin D. Smith

  2. Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa

    Dietrich Doll

  3. Medical Faculty Saarland University, Department of Colorectal Surgery, St. Mary’s Hospital, Marienstr. 6-8, D-49377, Vechta, Germany

    Dietrich Doll

  4. Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, 7, York Road, Parktown, Johannesburg, 2193, South Africa

    Elias Degiannis

Authors
  1. Martin D. Smith
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dietrich Doll
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Elias Degiannis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Elias Degiannis .

Editor information

Editors and Affiliations

  1. Professor of Surgery Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard University Medical School, Boston, USA

    George C. Velmahos

  2. Professor Emeritus, Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, Johannesburg, South Africa

    Elias Degiannis

  3. Honorary Senior Lecturer, Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

    Dietrich Doll

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Smith, M.D., Doll, D., Degiannis, E. (2017). Penetrating Trauma to the Pancreas. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49859-0_47

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation