Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 7 , ISSUE 2 ( May-August, 2018 ) > List of Articles

ORIGINAL ARTICLE

Conservative Treatment of Pancreatic Trauma–An Experience from a Brazilian Trauma Center

Fabio Botelho-Filho, Domingos AF Drumond, Sizenando V Starling, Nathalia NG Lopes

Keywords : Abdominal trauma, Blunt trauma, Pancreas, Trauma

Citation Information : Botelho-Filho F, Drumond DA, Starling SV, Lopes NN. Conservative Treatment of Pancreatic Trauma–An Experience from a Brazilian Trauma Center. Panam J Trauma Crit Care Emerg Surg 2018; 7 (2):97-101.

DOI: 10.5005/jp-journals-10030-1211

License: CC BY-NC 4.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: This study wants to demonstrate that it is safe to treat pancreatic trauma conservatively in a developing country where resources are challenging. Materials and Methods: The study analyzed data from a Brazilian trauma center. Results: Thirteen patients from 2006 to 2017 had pancreatic trauma from low (I and II) and high grade (III) lesions and were treated conservatively. There was no mortality. Four patients had complications, but only one required laparotomy. In the study, a relationship was found with the degree of injury and time of hospitalization (p < 0.011), in addition to the presence of complications with the degree of complication (p < 0.021). Conclusion: Conservative treatment of pancreatic trauma has been performed in low and high grade lesions. It is believed that as long as there is a 24-hour surgical team, such as computed tomography (CT), the treatment of pancreatic trauma can be well-conducted. Clinical Significance: The study can decrease the number of unnecessary laparotomies. Objetivo: Este estudo quer demonstrar que é seguro tratar o trauma pancreático de forma conservadora em um país em desenvolvimento onde os recursos são desafiadores. Materiais e Métodos: O estudo analisou dados de um centro de trauma brasileiro. Resultados: Treze pacientes de 2006 a 2017 apresentaram trauma pancreático de baixo (I e II) e de alto grau (III), sendo tratados de forma conservadora. Não houve mortalidade. Quatro pacientes apresentaram complicações, mas apenas em um caso foi necessária laparotomia. No estudo, encontrou-se um relacionamento com o grau de lesão e tempo de internação (p 0,011), além da presença de complicações com o grau de complicação (p 0,021). Conclusão: o tratamento conservador do trauma pancreático é factível em lesões de baixo e alto grau. Acredita-se que, se houver uma equipe cirúrgica de 24 horas, com TC, o tratamento do trauma pancreático pode ser bem conduzido. Significância clínica: o estudo pode a diminuir o número de laparotomias desnecessárias.


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