Skip to Main Content

++

Injuries to the pancreas and duodenum present a significant challenge, for a number of reasons. First, while the deep, central position of the pancreas and duodenum afford the organs some degree of protection, their retroperitoneal location confounds the clinical detection of injury. Second, the infrequency of these injuries has resulted in a lack of significant management experience among practicing trauma surgeons. Third, anatomic and physiologic factors contribute to a disturbingly high incidence of complications following injury; morbidity is exacerbated by delays in diagnosis and treatment. Consequently, trauma to the pancreas and duodenum is associated with relatively poor outcomes that have not improved significantly, despite advances in trauma and critical care management (see Tables 32-1 and 32-2).116

++
Table Graphic Jump Location
Table 32-1 Duodenal Trauma: Mortality by Mechanism of Injury in Large Series (>100 Patients)
++
Table Graphic Jump Location
Table 32-2 Pancreatic Trauma: Mortality by Mechanism of Injury in Large Series (>100 Patients)

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessSurgery Full Site: One-Year Subscription

Connect to the full suite of AccessSurgery content and resources including more than 160 instructional videos, 16,000+ high-quality images, interactive board review, 20+ textbooks, and more.

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessSurgery

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.