The Western Society for Emergency Surgery (WSES) classified traumatic injuries to the duodenum, pancreas and extra-hepatic biliary tract.
Patient selection: blunt or penetrating trauma to the duodenum, pancreas and/or extrahepatic biliary tract
Parameters:
(1) AAST grade of duodenal trauma
(2) AAST grade of pancreatic trauma
(3) AAST grade of extrahepatic biliary tract (EHBT) trauma
(4) hemodynamic status
AAST Duodenum
Hemodynamic Status
WSES Class Duodenum
I
stable
I (minor)
II
II (moderate)
III, IV or V
III (severe)
NA
unstable
IV (severe)
AAST Pancreas
WSES Class Pancreas
I or II
III
IV or V
AAST EHBT
WSES Class EHBT
I, II or III
IV
V
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Specialty: Surgery, orthopedic, Emergency Medicine
