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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2019

Open Access 01-12-2019 | Endoscopic Retrograde Cholangiopancreatography | Review

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

Authors: Federico Coccolini, Leslie Kobayashi, Yoram Kluger, Ernest E. Moore, Luca Ansaloni, Walt Biffl, Ari Leppaniemi, Goran Augustin, Viktor Reva, Imitiaz Wani, Andrew Kirkpatrick, Fikri Abu-Zidan, Enrico Cicuttin, Gustavo Pereira Fraga, Carlos Ordonez, Emmanuil Pikoulis, Maria Grazia Sibilla, Ron Maier, Yosuke Matsumura, Peter T. Masiakos, Vladimir Khokha, Alain Chichom Mefire, Rao Ivatury, Francesco Favi, Vassil Manchev, Massimo Sartelli, Fernando Machado, Junichi Matsumoto, Massimo Chiarugi, Catherine Arvieux, Fausto Catena, Raul Coimbra, WSES-AAST Expert Panel

Published in: World Journal of Emergency Surgery | Issue 1/2019

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Abstract

Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.
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Metadata
Title
Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines
Authors
Federico Coccolini
Leslie Kobayashi
Yoram Kluger
Ernest E. Moore
Luca Ansaloni
Walt Biffl
Ari Leppaniemi
Goran Augustin
Viktor Reva
Imitiaz Wani
Andrew Kirkpatrick
Fikri Abu-Zidan
Enrico Cicuttin
Gustavo Pereira Fraga
Carlos Ordonez
Emmanuil Pikoulis
Maria Grazia Sibilla
Ron Maier
Yosuke Matsumura
Peter T. Masiakos
Vladimir Khokha
Alain Chichom Mefire
Rao Ivatury
Francesco Favi
Vassil Manchev
Massimo Sartelli
Fernando Machado
Junichi Matsumoto
Massimo Chiarugi
Catherine Arvieux
Fausto Catena
Raul Coimbra
WSES-AAST Expert Panel
Publication date
01-12-2019
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2019
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-019-0278-6

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