2000, Number 3
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ABSTRACTObjective: To provide information on the diagnostic concepts and timely treatment options for pancreato-duodenal traumatisms.
Data collection: Review of the international literature on the subject (16 references).
Selection of data: The most relevant articles related to pancreato-duodenal traumatisms were chosen; their application in a general surgery ward was analyzed.
Results: Traumatic lesions of the pancreas and duodenum still represent a challenge to the clinical judgment and the surgical ability of the trauma surgeon, especially when dealing with combined lesions. On one hand, their location in the retroperitoneum and, on the other, their tight relation with important intra-abdominal structures widen its spectrum of presentation. The significant immediate mortality related to the associated lesions and the severe complications that can develop due to an inadequate handling require that the surgeon be aware of these lesions to be able to provide a timely and adequate treatment. The Central Military hospital, due to its characteristics, treats a large amount of polytraumatized patients. Due to the particular characteristics of the patient with pancreato-duodenal trauma, a protocol was established for its diagnosis and timely treatment.
Conclusion: The aim of the protocol is to familiarize the surgeon with the data that might indicate the presence of a pancreato-duodenal lesion. Studies must be performed to establish or confirm the diagnosis and to select the surgical alternative available for each particular case.
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