Anastomotic Leak, Intra-Abdominal Abscess, Pancreas Abscess, Pancreas Cyst, Pancreas; Fistula, Pancreas Injury, Pancreas Necrosis, Pancreatic Duct Injury, Pancreatic Trauma
Conditions
Keywords
Pancreatic trauma, Penetrating abdominal injury, Abdominal trauma
Brief summary
The goal of this observational study is to compare the presentation, treatment, and outcomes in patients suffering traumatic pancreatic injuries from blunt or penetrating trauma. The questions this study aims to answer are: 1. Does a statistically significant association exist between pancreatic injury grade and the following individual factors: * Mortality * Morbidity * Injury severity score 2. Is there an association between post-operative pancreatic complications and operation-specific intervention? 3. Does pancreatic injury score correlate with certain intra-abdominal organ injuries? Participants meeting criteria are greater than 18 years old, with no history of pancreatic surgery who were hospitalized at Kern Medical Center after presenting to the institution's emergency department as tier 1 or 2 trauma activations following blunt or penetrating abdominal injury and were diagnosed with pancreatic injury during the same hospitalization.
Interventions
PROCEDUREExploratory laparotomy
Exploratory laparotomy with interventions addressing pancreatic injuries Grade 1-5 including pancreatic interventions including subtotal pancreatectomy, distal pancreatectomy, pancreatic ligation, pyloric diversion, or simple drainage of the pancreas.
Sponsors
Kern Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hospitalized at Kern Medical Center after presenting to the institution's emergency department as a tier 1 and 2 trauma activation * Hospitalized following blunt or penetrating abdominal injury * Diagnosed with traumatic pancreatic injury during same admission
Exclusion criteria
* history of pancreatic surgery * Iatrogenic pancreatic injuries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complication occurrence | Up to 12 weeks postoperatively | Complications including wound dehiscence, pancreatic duct leak, pancreatic pseudocyst, pancreatic fistula formation, pancreatic necrosis, intra-abdominal abscess, traumatic pancreatitis, anastomotic leak |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Associated intra-abdominal injuries | within 48 hours of admission | concomitant intra-abdominal injuries including pancreatic duck, diaphragm, stomach, liver, kidney, Major vasculature, spleen, duodenum, small bowel, colon, ureter |
Countries
United States
Outcome results
None listed