caa a22 4500 477034632 CHVBK 20180405111302.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/s002689900012 doi (NATIONALLICENCE)springer-10.1007/s002689900012 Gunshot Injuries of the Head of the Pancreas: Conservative Approach [Elektronische Daten] [E. Degiannis, R.D. Levy, G.C. Velmahos, T. Potokar, M.G.C. Florizoone, R. Saadia] Abstract. This study is comprised of 48 patients with gunshot injuries of the head of the pancreas, many of which were high velocity injuries. The purpose of this study was to evaluate our management policy for these injuries based on our recent wide experience. Patients with grade II and III injuries underwent conservative surgery, with 0% and 21% postoperative mortality, respectively, directly related to the pancreatic injury. For patients in whom the duodenum was involved, pyloric exclusion was applied depending on the grade of the duodenal injury. We concluded that moderate gunshot injuries of the head of the pancreas (grade II) can be safely treated by débridement and suture repair, with or without drainage. Severe (grade IV) injuries warrant a pancreaticoduodenectomy. Most grade III injuries can be treated by débridement and drainage unless an associated severe duodenal injury is present, in which case resection may be indicated.: 1996 by the Société Internationale de Chir, ugie Degiannis E. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Levy R.D. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Velmahos G.C. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Potokar T. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Florizoone M.G.C. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Saadia R. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut https://doi.org/10.1007/s002689900012 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900012 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Degiannis E. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut NATIONALLICENCE 700 1- Levy R.D. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut NATIONALLICENCE 700 1- Velmahos G.C. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut NATIONALLICENCE 700 1- Potokar T. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut NATIONALLICENCE 700 1- Florizoone M.G.C. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut NATIONALLICENCE 700 1- Saadia R. Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa, ZA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer