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De behandeling van graad III- en IV-pancreasletsel bij kinderen: simpel maar wel gecompliceerd

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Nederlands Tijdschrift voor Traumachirurgie

Samenvatting

Pancreasletsel bij kinderen na een stomp buiktrauma is een zeldzaam, maar ernstig ziektebeeld. Bij 3-12% van de kinderen komt na een stomp buiktrauma pancreasletsel voor. Bij kinderen is conservatieve behandeling van pancreasletsel graad I en II algemeen geaccepteerd. Echter, de initieel conservatieve behandeling van pancreasletsel graad III en IV (letsel van de ductus pancreaticus) blijft controversieel. In ons ziekenhuis hanteren we een conservatief beleid voor graad III-pancreasletsels bij hemodynamisch stabiele patiënten. Wij presenteren onze ervaring met de conservatieve behandeling van graad III-pancreasletsel in een tweetal patiëntencasus.

Abstract

Pancreatic injury in children after blunt abdominal trauma is a rare but serious complication and occurs in 3-12 % of the cases. In children, conservative treatment of grade I and II pancreatic lesions is generally accepted. However, the initial conservative treatment of grade III and IV (injury to the pancreatic duct) lesions remains controversial. In our hospital we have a tendency for conservative treatment of grade III pancreatic injuries in hemodynamic stable patients. We present our experience with the conservative treatment of stage III pancreatic injury in two patients.

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Authors and Affiliations

  1. afdeling Heelkunde, Elisabeth TweeSteden ziekenhuis, Tilburg, The Netherlands

    E.P.C. Matthée

  2. afdeling Heelkunde, Radboudumc, Nijmegen, Nijmegen, The Netherlands

    E.C.T.H. Tan

  3. afdeling Spoedeisende Hulp, Radboudumc, Nijmegen, Nijmegen, The Netherlands

    E.C.T.H. Tan

  4. Kinderchirurgie, Radboudumc-Amalia Kinderziekenhuis, Nijmegen, The Netherlands

    I. de Blaauw

Authors
  1. E.P.C. Matthée
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  2. E.C.T.H. Tan
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  3. I. de Blaauw
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Additional information

1 arts-assistent, afdeling Heelkunde, Elisabeth TweeSteden ziekenhuis, Tilburg

2 traumachirurg, afdeling Heelkunde, Radboudumc, Nijmegen

3 afdelingshoofd, afdeling Spoedeisende Hulp, Radboudumc, Nijmegen

4 kinderchirurg afdeling Heelkunde, Radboudumc, Nijmegen

5 hoofd divisie Kinderchirurgie, Radboudumc-Amalia Kinderziekenhuis, Nijmegen

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Matthée, E., Tan, E. & de Blaauw, I. De behandeling van graad III- en IV-pancreasletsel bij kinderen: simpel maar wel gecompliceerd. Ned Tijdschr Traumachir 24, 22–26 (2016). https://doi.org/10.1007/s12506-016-0036-2

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  • DOI: https://doi.org/10.1007/s12506-016-0036-2

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