Management of Severe Pancreaticoduodenal Injuries

Authors

  • Tanka Prasad Bohara Kathmandu Medical College Teaching Hospital
  • Mukund Raj Joshi Kathmandu Medical College Teaching Hospital
  • Anuj Parajuli Kathmandu Medical College Teaching Hospital
  • Gausan Ratna Bajracharya Kathmandu Medical College Teaching Hospital

DOI:

https://doi.org/10.31729/jnma.1603

Abstract

Severe pancreaticoduodenal injuries are rare and no surgeon and institute get enough number of cases to acquire expertise. Hence the management of such injuries remains controversial. We report a case of 28 years male who sustained a severe pancreaticoduodenal injury and was managed with emergency pancreaticoduodenectomy with immediate reconstruction. Various approach has been described in literature with variable outcome. Damage control strategy seems to be most useful approach and major resection should be a part of debridement whenever required. Immediate reconstruction can be carried out safely if patient remain hemodynamically and metabolically stable.

Author Biographies

Tanka Prasad Bohara, Kathmandu Medical College Teaching Hospital

Lecturer

Mukund Raj Joshi, Kathmandu Medical College Teaching Hospital

Associate Professor

Anuj Parajuli, Kathmandu Medical College Teaching Hospital

Resident

Gausan Ratna Bajracharya, Kathmandu Medical College Teaching Hospital

Medical Officer

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Published

2014-03-31

How to Cite

Bohara, T. P., Joshi, M. R., Parajuli, A., & Bajracharya, G. R. (2014). Management of Severe Pancreaticoduodenal Injuries. Journal of Nepal Medical Association, 52(193), 719–722. https://doi.org/10.31729/jnma.1603

Issue

Section

Case Reports

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