Current status and management of pancreatic trauma with main pancreatic duct injury : A multicenter nationwide survey in Japan

Persistent ID (NDL): info:ndljp/pid/11671733

Material type: 博士論文

Author: 安藤, 恭久

Publisher: -

Publication date: 2021-03-24

Material Format: Digital

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Name of awarding university/degree: 香川大学,博士（医学）

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Note (General)：: Background: Pancreatic trauma is reportedly associated with high morbidity and mortality. Main pancreatic duct (MPD) injury is critical for treatment....

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Material Type: 博士論文
Title: Current status and management of pancreatic trauma with main pancreatic duct injury : A multicenter nationwide survey in Japan
Author/Editor: 安藤, 恭久
Author Heading: 安藤, 恭久
Publication Date: 2021-03-24
Publication Date (W3CDTF): 2021-03-24
Alternative Title: 主膵管損傷を伴う膵外傷の現状と管理 : 日本における多施設全国調査
Degree grantor/type: 香川大学
Date Granted: 2021-03-24
Date Granted (W3CDTF): 2021-03-24
Dissertation Number: 甲第775号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 甲第775号
Text Language Code: eng
Alias of Author: Ando, Yasuhisa
Subject Heading: endoscopic retrograde pancreatography
main pancreatic duct injury
management
nationwide survey
pancreatic trauma
Target Audience: 一般
Note (General): Background: Pancreatic trauma is reportedly associated with high morbidity and mortality. Main pancreatic duct (MPD) injury is critical for treatment.
Methods: As a study project of the Japanese Society for Abdominal Emergency Medicine (JSAEM), we collected the data of 163 patients with pancreatic trauma who were diagnosed and treated at JSAEM board-certified hospitals from 2006 to 2016. Clinical backgrounds, diagnostic approaches, management strategies, and outcomes were evaluated.
Results: Sixty-four patients (39%) were diagnosed as having pancreatic trauma with MPD injury that resulted in 3% mortality. Blunt trauma and isolated pancreatic injury were independent factors predicting MPD injury. Nine of 11 patients with MPD injury who were initially treated nonoperatively had serious clinical sequelae and five (45%) required surgery as a secondary treatment. Among all cases, the detectability of MPD injury of endoscopic retrograde pancreatography (ERP) was superior to that of other imaging modalities (CT or MRI), with higher sensitivity and specificity (sensitivity = 0.96; specificity = 1.0).
Conclusions: Acceptable outcomes were observed in pancreatic trauma patients with MPD injury. Nonoperative management should be carefully selected for MPD injury. ERP is recommended to be performed in patients with suspected MPD injury and stable hemodynamics.
DOI: info:doi/10.1002/jhbp.877
https://doi.org/info:doi/10.1002/jhbp.877
Persistent ID (NDL): info:ndljp/pid/11671733
https://dl.ndl.go.jp/pid/11671733
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2021-05-16T23:51:55+09:00
Date Created (W3CDTF): 2021-04-22
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/7341
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp