Algorithm of Duchesne et al for Management of Blunt Pancreatic Injury

Description

Duchesne et al proposed an algorithm for a hemodynamically stable patient with blunt trauma to the pancreas. This can separate those who require operative management from those who do not. The authors are from the University of Mississippi and Tulane University.

Patient selection: hemodynamically stable and blunt pancreatic injury

Parameters:

(1) AAST-OIS grade of pancreatic injury on imaging studies

(2) ductal injury on ERCP or MRCP (done only for Grade I or Grade II injuries)

Grade of Pancreatic Injury	Ductal Injury	Management
Grade III, IV or V	NA	surgery
Grade I or II	none	nonoperative management
Grade I or II	present	surgery

where:

• ERCP = endoscopic retrograde cholangiopancreatography

• MRCP = MRI retrograde cholangiopancreatography

Nonoperative management consists of:

(1) observation and pain control

(2) bowel rest

(3) serial abdominal CT scans

(4) percutaneous drainage of any pseudocysts that develop as required

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Description

Specialty

ICD-10