MANAGEMENT OF TRAUMATIC PANCREATITIS IN A TERTIARY CARE CENTRE - A PROSPECTIVE STUDY

Volume : VII, Issue : VI, June - 2018

Dr. Sibithooran Karmegan, Dr. K. Premkumar, Dr. Thinakarmani Balusamy

Introduction : The subtle signs and reports in in the early post traumatic time delays the treatment for post traumatic pancreatitis . Where the

morbidity and mortality rates are signicantly high. This study from our institution is about the management of 25 cases of post traumatic

pancreatitis in our institution.

Materials and methods : 25 patients who were managed for post traumatic pancreatitis in our institution between August 2015 and April 2018

were studied .Demographic and Clinical data , lab investigations , mode of injury , imaging ndings and the management were recorded and

analysed.

Results : 17 patients were males and 8 were females with mean age of 31.

7 had penetrating injuries and 18 had blunt injury .

Among the 18 who had blunt injury 11 followed an automobile accident, 4 had a classical cycle bar injury and 3 had presented with injury after an

assault.

16 patients were managed surgically mainly because of bad hemodynamic status and associated injuries of other organs.

9 patients underwent ERCP . 6 had pancreatic ductal disruption and were stented for the other 3 sphincterotomy and conservative management was

done .

Conclusion : Management of post traumatic pancreatitis is by a multi disciplinary team led by a medical or a surgical gastroenterologist.

ERCP is a very effective minimally invasive means of diagnosing and treating this condition.