Wednesday, February 7, 2007

Pancreatic Transection


What are methods that can be used to help identify pancreatic ductal injury?

1. Operative pancreatography
2. Cannulation with a 1.5-2.0 mm coronary artery dilator
3. ERCP


What surgical options are appropriate for main duct transection at the neck, body, or tail of the pancreas?

1. Distal pancreatectomy with splenectomy
2. Distal pancreatectomy with splenic preservation
3. Distal Roux-en-Y pancreaticojejunostomy


What surgical option is most appropriate for transection at the head of the pancreas?

Roux-en-Y pancreaticojejunostomy


Pancreatic insufficiency will occur with loss of 85-90% of the gland.


What surgical option is appropriate for injury to the intrapancreatic common bile duct?

Roux-en-Y choledochojejunostomy


What surgical options are considered for pancreatoduodenal injuries?

1. Pyloric exclusion
2. Pancreatoduodenectomy


What are indications for a trauma Whipple?

1. Transection of intrapancreatic common bile duct and main pancreatic duct
2. Avulsion of the Ampulla of Vater
3. Destruction of the second portion of the duodenum


What is a common grading system for pancreatic traumatic injury?

Pancreatic organ injury scale from Moore et al. (1990) J Trauma.


Late! SG


Sources:
Schwartz' Principles of Surgery, 8th ed.
Moore EE et al. J Trauma. 1990; 30: 1427-1429.

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Ich bin derzeit auszuprobieren AlchemyAPI, aber es klingt als eine bessere NLP Bibliotheken existieren da draußen. Preferablly, würde ich keineswegs auf eine begrenzte Anzahl bezüglich API-Anforderungen einem bestimmten Zeitraum (AlchemyAPI hat eine Quote) beschränkt werden. Ich besitze eine gute Namen im bereich GATE, LingPipe gehört und ausserdem OpenNLP doch ich bin gar nicht sicher, ob Die police meine Bedürfnisse angepasst ..

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