{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T16:21:28Z","timestamp":1793809288733,"version":"4.6.1"},"reference-count":24,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2024,11,4]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV\u2013V pancreaticoduodenal injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective, multicenter analysis from 35 level 1 trauma centers from January 2010 to December 2020. Included patients were \u226515 years of age with the American Association for the Surgery of Trauma grade IV\u2013V duodenal and\/or pancreatic injuries. The study compared operative repair strategy: PD versus non-PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample (n=95) was young (26 years), male (82%), with predominantly penetrating injuries (76%). There was no difference in demographics, hemodynamics, or blood product requirement on presentation between PD (n=32) vs non-PD (n=63). Anatomically, PD patients had more grade V duodenal, grade V pancreatic, ampullary, and pancreatic ductal injuries compared with non-PD patients (all p&lt;0.05). 43% of all grade V duodenal injuries and 40% of all grade V pancreatic injuries were still managed with non-PD. One-third of non-PD duodenal injuries were managed with primary repair alone. PD patients had more gastrointestinal (GI)-related complications, longer intensive care unit length of stay (LOS), and longer hospital LOS compared with non-PD (all p&lt;0.05). There was no difference in mortality or readmission. Multivariable logistic regression analysis determined PD to be associated with a 3.8-fold greater odds of GI complication (p=0.010) compared with non-PD. In a subanalysis of patients without ampullary injuries (n=60), PD patients had more anastomotic leaks compared with the non-PD group (3 (30%) vs 2 (4%), p\n                      <jats:italic>=<\/jats:italic>\n                      0.028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While PD patients did not have worse hemodynamics or blood product requirements on admission, they sustained more complex anatomic injuries and had more GI complications and longer LOS than non-PD patients. We suggest that the role of PD should be limited to cases of massive destruction of the pancreatic head and ampullary complex, given the likely procedure-related morbidity and adverse outcomes when compared with non-PD management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV, Multicenter retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/tsaco-2024-001438","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T23:25:25Z","timestamp":1734737125000},"page":"e001438","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Pancreaticoduodenectomy in trauma patients with grade IV\u2013V duodenal or pancreatic injuries: a post hoc analysis of an EAST multicenter trial"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2297-9956","authenticated-orcid":false,"given":"Rachel Leah","family":"Choron","sequence":"first","affiliation":[{"name":"Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charoo","family":"Piplani","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Kuzinar","sequence":"additional","affiliation":[{"name":"Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4120-8345","authenticated-orcid":false,"given":"Amanda L","family":"Teichman","sequence":"additional","affiliation":[{"name":"Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Bargoud","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"},{"name":"Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D","family":"Sciarretta","sequence":"additional","affiliation":[{"name":"Surgery, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2720-5917","authenticated-orcid":false,"given":"Randi N","family":"Smith","sequence":"additional","affiliation":[{"name":"Trauma\/Surgical Critical Care, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dustin","family":"Hanos","sequence":"additional","affiliation":[{"name":"Grady Memorial Hospital Corp, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iman N","family":"Afif","sequence":"additional","affiliation":[{"name":"Temple University Hospital, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica H","family":"Beard","sequence":"additional","affiliation":[{"name":"Surgery, Temple University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1361-8582","authenticated-orcid":false,"given":"Navpreet Kaur","family":"Dhillon","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashling","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mira","family":"Ghneim","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekah","family":"Devasahayam","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Gunter","sequence":"additional","affiliation":[{"name":"Trauma\/Surgical Critical Care, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1742-3160","authenticated-orcid":false,"given":"Alison A","family":"Smith","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandi","family":"Sun","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe S","family":"Cao","sequence":"additional","affiliation":[{"name":"University of Kentucky, Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica K","family":"Reynolds","sequence":"additional","affiliation":[{"name":"University of Kentucky, Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A","family":"Hilt","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel N","family":"Holena","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1987-0888","authenticated-orcid":false,"given":"Grace","family":"Chang","sequence":"additional","affiliation":[{"name":"Surgery, Mount Sinai Hospital, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Jonikas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Hospital, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Echeverria-Rosario","sequence":"additional","affiliation":[{"name":"Cooper University Hospital Regional Trauma Center, Camden, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel S","family":"Fung","sequence":"additional","affiliation":[{"name":"Riverside University Health System Medical Center, Moreno Valley, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Anderson","sequence":"additional","affiliation":[{"name":"Indiana University Health Methodist Hospital, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin A","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6566-1833","authenticated-orcid":false,"given":"Ryan Peter","family":"Dumas","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy H","family":"Levin","sequence":"additional","affiliation":[{"name":"Indiana University Health Methodist Hospital, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine T","family":"Trankiem","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JaeHee","family":"Yoon","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Blank","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua P","family":"Hazelton","sequence":"additional","affiliation":[{"name":"WellSpan Health, York, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Al-Aref","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8314-1180","authenticated-orcid":false,"given":"Jordan Michael","family":"Kirsch","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S","family":"Howard","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dane R","family":"Scantling","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Dellonte","sequence":"additional","affiliation":[{"name":"University of Rochester, Rochester, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8690-4443","authenticated-orcid":false,"given":"Michael A","family":"Vella","sequence":"additional","affiliation":[{"name":"Surgery, University of Rochester Medical Center, Rochester, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent","family":"Hopkins","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Shell","sequence":"additional","affiliation":[{"name":"WakeMed Health and Hospitals, Raleigh, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7724-8034","authenticated-orcid":false,"given":"Pascal","family":"Udekwu","sequence":"additional","affiliation":[{"name":"Surgery, WakeMed Health and Hospitals, Raleigh, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan G","family":"Wong","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bellal","family":"Joseph","sequence":"additional","affiliation":[{"name":"University of Arizona Medical Center - University Campus, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Lieberman","sequence":"additional","affiliation":[{"name":"Jackson Memorial Hospital, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter A","family":"Ramsey","sequence":"additional","affiliation":[{"name":"Jackson Memorial Hospital, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin H","family":"Stewart","sequence":"additional","affiliation":[{"name":"University of Arizona Medical Center - University Campus, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Alvarez","sequence":"additional","affiliation":[{"name":"University of California Irvine School of Medicine, Irvine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D","family":"Berne","sequence":"additional","affiliation":[{"name":"Broward Health Medical Center, Fort Lauderdale, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffry","family":"Nahmias","sequence":"additional","affiliation":[{"name":"University of California Irvine School of Medicine, Irvine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Puente","sequence":"additional","affiliation":[{"name":"Broward Health Medical Center, Fort Lauderdale, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8779-6632","authenticated-orcid":false,"given":"Joe","family":"Patton","sequence":"additional","affiliation":[{"name":"Surgery, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya","family":"Rakitin","sequence":"additional","affiliation":[{"name":"Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Perea","sequence":"additional","affiliation":[{"name":"Lancaster General Health, Lancaster, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odessa","family":"Pulido","sequence":"additional","affiliation":[{"name":"Lancaster General Health, Lancaster, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hashim","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Surgery, Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Keating","sequence":"additional","affiliation":[{"name":"Hartford Hospital, Hartford, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-9159","authenticated-orcid":false,"given":"Lisa M","family":"Kodadek","sequence":"additional","affiliation":[{"name":"Surgery, Yale University School of Medicine, New Haven, Connecticut, USA"},{"name":"Yale New Haven Hospital, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Wade","sequence":"additional","affiliation":[{"name":"Hartford Hospital, Hartford, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reynold","family":"Henry","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4430-6779","authenticated-orcid":false,"given":"Martin","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Surgery, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Benjamin","sequence":"additional","affiliation":[{"name":"The University of Chicago Medicine, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abid","family":"Khan","sequence":"additional","affiliation":[{"name":"The University of Chicago Medicine, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura K","family":"Mann","sequence":"additional","affiliation":[{"name":"Spartanburg Regional Medical Center, Spartanburg, South Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Mentzer","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas McGovern Medical School, Houston, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios","family":"Mousafeiris","sequence":"additional","affiliation":[{"name":"University General Hospital of Patras, Patra, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesk","family":"Mulita","sequence":"additional","affiliation":[{"name":"University General Hospital of Patras, Patra, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Reid-Gruner","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Sais","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-0139","authenticated-orcid":false,"given":"Christopher W","family":"Foote","sequence":"additional","affiliation":[{"name":"Trauma Services Department, South Texas Health System, McAllen, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos H","family":"Palacio","sequence":"additional","affiliation":[{"name":"South Texas Health System, Edinburg, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dias","family":"Argandykov","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haytham","family":"Kaafarani","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle T","family":"Bover Manderski","sequence":"additional","affiliation":[{"name":"Rutgers School of Public Health, Piscataway, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilamarie","family":"Moko","sequence":"additional","affiliation":[{"name":"Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayur","family":"Narayan","sequence":"additional","affiliation":[{"name":"Surgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Seamon","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"2025082410201423000_9.1.e001438.1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/TA.0b013e31829a0aaf","article-title":"Revisiting the pancreaticoduodenectomy for trauma: a single institution\u2019s experience","volume":"75","author":"Thompson","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.2","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1007\/s13304-020-00855-x","article-title":"The modern trauma pancreaticoduodenectomy for penetrating trauma: a propensity-matched analysis","volume":"73","author":"Grigorian","year":"2021","journal-title":"Updates Surg"},{"key":"2025082410201423000_9.1.e001438.3","first-page":"598","article-title":"Pancreatic trauma: a ten-year multi-institutional experience","volume":"63","author":"Akhrass","year":"1997","journal-title":"Am Surg"},{"key":"2025082410201423000_9.1.e001438.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2003.07.019"},{"key":"2025082410201423000_9.1.e001438.5","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/0002-9610(84)90126-0","article-title":"Pancreaticoduodenectomy for trauma: a viable option?","volume":"147","author":"Oreskovich","year":"1984","journal-title":"Am J Surg"},{"key":"2025082410201423000_9.1.e001438.6","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s00068-015-0525-9","article-title":"Damage control laparotomy and delayed pancreatoduodenectomy for complex combined pancreatoduodenal and venous injuries","volume":"42","author":"Krige","year":"2016","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2025082410201423000_9.1.e001438.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2257-5"},{"key":"2025082410201423000_9.1.e001438.8","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/TA.0000000000003972","article-title":"Outcomes among trauma patients with duodenal leak following primary versus complex repair of duodenal injuries: An Eastern Association for the Surgery of Trauma multicenter trial","volume":"95","author":"Choron","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01594.x"},{"key":"2025082410201423000_9.1.e001438.10","doi-asserted-by":"crossref","first-page":"3169","DOI":"10.1007\/s00423-022-02702-6","article-title":"Emergency pancreaticoduodenectomy for non-traumatic indications-a systematic review","volume":"407","author":"Popa","year":"2022","journal-title":"Langenbecks Arch Surg"},{"key":"2025082410201423000_9.1.e001438.11","doi-asserted-by":"crossref","first-page":"S83","DOI":"10.1016\/j.ijsu.2015.04.096","article-title":"Emergency pancreaticoduodenectomy: When is it needed? A dual non-trauma centre experience and literature review","volume":"21","author":"Lissidini","year":"2015","journal-title":"Int J Surg"},{"key":"2025082410201423000_9.1.e001438.12","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/S1091-255X(00)80014-1","article-title":"Two-stage trauma pancreaticoduodenectomy: delay facilitates anastomotic reconstruction","volume":"4","author":"Koniaris","year":"2000","journal-title":"J Gastrointest Surg"},{"key":"2025082410201423000_9.1.e001438.13","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1002\/ams2.143","article-title":"Severe pancreatoduodenal injury","volume":"3","author":"Yamamoto","year":"2016","journal-title":"Acute Med Surg"},{"key":"2025082410201423000_9.1.e001438.14","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.injury.2020.01.018","article-title":"Pancreaticodudonectomy in trauma: One or two stages?","volume":"51","author":"de Carvalho","year":"2020","journal-title":"Injury"},{"key":"2025082410201423000_9.1.e001438.15","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.injury.2008.08.010","article-title":"Pancreatic injury in damage control laparotomies: Is pancreatic resection safe during the initial laparotomy?","volume":"40","author":"Seamon","year":"2009","journal-title":"Injury"},{"key":"2025082410201423000_9.1.e001438.16","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1097\/00000658-199006000-00011","article-title":"Superiority of closed suction drainage for pancreatic trauma. A randomized, prospective study","volume":"211","author":"Fabian","year":"1990","journal-title":"Ann Surg"},{"key":"2025082410201423000_9.1.e001438.17","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1097\/TA.0000000000003651","article-title":"A comparison of management and outcomes following blunt versus penetrating pancreatic trauma: A secondary analysis from the Western Trauma Association Multicenter Trials Group on Pancreatic Injuries","volume":"93","author":"Biffl","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.18","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1097\/TA.0000000000003313","article-title":"Does drainage or resection predict subsequent interventions and long-term quality of life in patients with Grade IV pancreatic injuries: A population-based analysis","volume":"91","author":"Ball","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.19","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/TA.0000000000001987","article-title":"An AAST-MITC analysis of pancreatic trauma: Staple or sew? Resect or drain?","volume":"85","author":"Byrge","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.20","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1097\/TA.0000000000003080","article-title":"A multicenter trial of current trends in the diagnosis and management of high-grade pancreatic injuries","volume":"90","author":"Biffl","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.21","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/TA.0000000000003794","article-title":"Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm","volume":"94","author":"Moren","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082410201423000_9.1.e001438.22","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1016\/j.hpb.2021.12.012","article-title":"Counting the cost: financial implications of complications following pancreaticoduodenectomy","volume":"24","author":"Jajja","year":"2022","journal-title":"HPB (Oxford)"},{"key":"2025082410201423000_9.1.e001438.23","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.amjsurg.2011.10.019","article-title":"Complications nearly double the cost of care after pancreaticoduodenectomy","volume":"204","author":"Enestvedt","year":"2012","journal-title":"Am J Surg"},{"key":"2025082410201423000_9.1.e001438.24","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s13017-019-0278-6","article-title":"Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines","volume":"14","author":"Coccolini","year":"2019","journal-title":"World J Emerg Surg"}],"container-title":["Trauma Surgery &amp; Acute Care Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tsaco-2024-001438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T17:20:25Z","timestamp":1756056025000},"score":1,"resource":{"primary":{"URL":"https:\/\/tsaco.bmj.com\/lookup\/doi\/10.1136\/tsaco-2024-001438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12,20]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/tsaco-2024-001438"],"URL":"https:\/\/doi.org\/10.1136\/tsaco-2024-001438","relation":{},"ISSN":["2397-5776"],"issn-type":[{"value":"2397-5776","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}