RT Book, Section
A1 Biffl, Walter L.
A2 Moore, Ernest E.
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
SR Print(0)
ID 1141189128
T1 Duodenum and Pancreas
T2 Trauma, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071847292
LK accesssurgery.mhmedical.com/content.aspx?aid=1141189128
RD 2024/04/18
AB Injuries  to  the  pancreas  and  duodenum  present  a  significant  challenge,  for  a  number  of  reasons.  First,  while  their  deep,  central  position  affords  the  organs  some  degree  of  protection,  their  retroperitoneal  location  compromises  the  clinical  detection  of  injury.  This  can  lead  to  delays  in  diagnosis  and  treatment,  which  may  result  in  morbidity  and  mortality.1,2,3,4,5,6,7  Second,  even  when  managed  promptly,  anatomic  and  physiologic  factors  contribute  to  a  disturbingly  high  incidence  of  complications.  Third,  the  infrequency  of  these  injuries  has  resulted  in  a  lack  of  significant  management  experience—both  of  the  primary  injuries  as  well  as  the  complications—among  practicing  trauma  surgeons.  Consequently,  trauma  to  the  pancreas  and  duodenum  is  associated  with  relatively  poor  outcomes  that  have  not  improved  significantly  over  the  past  few  decades,  despite  advances  in  trauma  and  critical  care  management  (Tables  32-1  and  32-2).1,3,6,8,9,10,11,12,13,14,15,16,17,18,19