A Retrospective Analysis of Pancreatic Injuries and Treatment Outcomes

Kern Medical Center

Status: Completed

Conditions: Pancreatic Duct Injury; Pancreatic Trauma; Pancreas Abscess; Pancreas Necrosis; Pancreas Injury; Intra-Abdominal Abscess; Pancreas; Fistula; Pancreas Cyst; Anastomotic Leak

Treatments: Procedure: Exploratory laparotomy

Study type: Observational

Funder types: Other

Identifiers

NCT06227871

11894

Details and patient eligibility

About

The goal of this observational study is to compare the presentation, treatment, and outcomes in patients suffering traumatic pancreatic injuries from blunt or penetrating trauma.

The questions this study aims to answer are:

1. Does a statistically significant association exist between pancreatic injury grade and the following individual factors:

   • Mortality
   • Morbidity
   • Injury severity score

2. Is there an association between post-operative pancreatic complications and operation-specific intervention?

3. Does pancreatic injury score correlate with certain intra-abdominal organ injuries?

Participants meeting criteria are greater than 18 years old, with no history of pancreatic surgery who were hospitalized at Kern Medical Center after presenting to the institution's emergency department as tier 1 or 2 trauma activations following blunt or penetrating abdominal injury and were diagnosed with pancreatic injury during the same hospitalization.

Enrollment: 31 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalized at Kern Medical Center after presenting to the institution's emergency department as a tier 1 and 2 trauma activation
• Hospitalized following blunt or penetrating abdominal injury
• Diagnosed with traumatic pancreatic injury during same admission

Exclusion criteria

• history of pancreatic surgery
• Iatrogenic pancreatic injuries

Trial design

31 participants in 2 patient groups

Penetrating intra-abdominal injury

Description:

Patients diagnosed with a pancreatic injury secondary to penetrating intra-abdominal injury subdivided by pancreatic injury grade

Treatment:

Procedure: Exploratory laparotomy

Blunt intra-abdominal injury

Description:

Patients diagnosed with a pancreatic injury secondary to blunt intra-abdominal injury subdivided by pancreatic injury grade

Treatment:

Procedure: Exploratory laparotomy