Open AccessIntraoperative endoscopic retrograde cholangiopancreatography for traumatic pancreatic ductal injuries: Two case reports
Author(s) -
Andrew Canakis,
Vivek Kesar,
Caleb Hudspath,
Raymond E. Kim,
Thomas M. Scalea,
Peter Darwin
Publication year - 2022
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v14.i5.342
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , exploratory laparotomy , surgery , stent , abdominal trauma , blunt , pancreatic injury , pancreatic duct , general surgery , radiology , pancreatitis
In order to successfully manage traumatic pancreatic duct (PD) leaks, early diagnosis and operative management is paramount in reducing morbidity and mortality. In the acute setting, endoscopic retrograde cholangiopancreatography (ERCP) can be a useful, adjunctive modality during exploratory laparotomy. ERCP with sphincterotomy and stent placement improves preferential drainage in the setting of injury, allowing the pancreatic leak to properly heal. However, data in this acute setting is limited.