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Predicting pseudocyst formation following pancreatic trauma in pediatric patients
Background There are insufficient data on pre-screening for pancreatic pseudocysts (PC) following pancreatic trauma. This study investigated the use of radiological and laboratory testing for predicting the development of pancreatic pseudocysts after trauma. Materials and methods The clinical record...
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Published in: | Pediatric surgery international 2016-06, Vol.32 (6), p.559-563 |
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Main Authors: | , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background
There are insufficient data on pre-screening for pancreatic pseudocysts (PC) following pancreatic trauma. This study investigated the use of radiological and laboratory testing for predicting the development of pancreatic pseudocysts after trauma.
Materials and methods
The clinical records of all pediatric patients presenting with pancreatic trauma between January 2003 and December 2014 were reviewed retrospectively. Patients with American Association for the Surgery of Trauma (AAST) scores of Grade 3–5 were enrolled. The patients were divided into groups that developed [Group 1 (
n
= 20)] and did not develop [Group 2 (
n
= 18)] PC. The patients were evaluated in terms of their baseline characteristics, additional injuries, Injury Severity Score (ISS), pancreatic injury site, blood amylase levels 2 h and 10–15 days after the trauma, clinical presentation, and duration of intensive care unit (ICU) stay.
Findings
We followed 38 patients. Of the patients in Group 1, 70 % had an injury to the tail of the pancreas. The ISS trauma scores and durations of hospitalization and ICU stay were significantly greater in Group 2 (
p
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ISSN: | 0179-0358 1437-9813 |
DOI: | 10.1007/s00383-016-3872-7 |