Pancreatic trauma in children.

Détails

ID Serval
serval:BIB_2C6EE7FA993A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pancreatic trauma in children.
Périodique
Pediatric Surgery International
Auteur(s)
Sutherland I., Ledder O., Crameri J., Nydegger A., Catto-Smith A., Cain T., Oliver M.
ISSN
1437-9813[electronic], 0179-0358[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
26
Numéro
12
Pages
1201-1206
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
We identified two distinct groups of patients in the 91 documented cases of pancreatic trauma (median age 8.0 years, range 0.6-15.8 years; M:F 2.5:1.0): 59 had a history of abdominal trauma and elevated serum lipase but no CT or ultrasound evidence of pancreatic injury (Group A); 32 had a history of abdominal trauma, elevated serum lipase but also had CT scan and/or ultrasound evidence of pancreatic injury (Group B). Patients with "less severe" injury based on normal imaging had a lower initial lipase level [Group A, median 651 U/L (interquartile range 520-1,324) vs. Group B, 1,608 U/L (interquartile range 680-3,526); p = 0.005] and shorter admission time [Group A, 9.0 days (interquartile range 5.5-15.5) vs. Group B, 13.4 days (interquartile range 6.8-23.8); p = 0.04]. There were no differences with respect to mortality (Group A, 13.5% vs. Group B, 12.5%), but patients with evidence of injury on imaging were more likely to have surgical intervention (p = 0.0001). The single most important overall cause of pancreatic trauma was involvement in a motor vehicle accident as a passenger or pedestrian. However, in children with high-grade ductal injury, bicycle handlebar injuries were most common. Associated injuries were common in both groups.
Pubmed
Web of science
Création de la notice
09/02/2011 10:24
Dernière modification de la notice
20/08/2019 13:11
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