Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2023 Mar 01;94(3):455-460
Date
11/19/2022Pubmed ID
36397206DOI
10.1097/TA.0000000000003794Scopus ID
2-s2.0-85148678166 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
BACKGROUND: The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases. Blunt pancreatic trauma falls under one of these clinically complex and rare scenarios. This algorithm is the result of an extensive literature review and input from the WTA membership and WTA Algorithm Committee members.
METHODS: Multiple evidence-based guideline reviews, case reports, and expert opinion were compiled and reviewed.
RESULTS: The algorithm is attached with detailed explanation of each step, supported by data if available.
CONCLUSION: Blunt pancreatic trauma is rare and presents many treatment challenges.
Author List
Moren AM, Biffl WL, Ball CG, de Moya M, Brasel KJ, Brown CVR, Hartwell JL, Inaba K, Ley EJ, Moore EE, Peck KA, Rizzo AG, Rosen NG, Sperry JL, Weinberg JA, Coimbra R, Shatz DV, Martin MJAuthor
Marc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abdominal InjuriesAlgorithms
Humans
Multiple Trauma
Pancreas
Thoracic Injuries
Wounds, Nonpenetrating