Endoscopic retrograde cholangiopancreatography in pancreatic trauma

Jamie S Barkin, R. M. Ferstenberg, W. Panullo, H. D. Manten, R. C. Davis

Research output: Contribution to journalArticle

85 Citations (Scopus)

Abstract

The sensitivity and specificity of ERCP for the diagnosis of suspected pancreatic ductal rupture was prospectively studied. Fourteen consecutive patients who were referred for abdominal pain and hyperamylasemia subsequent to abdominal trauma underwent ERCP, the majority within 24 hours of admission. Twelve of these also underwent abdominal CT, and 7 had peritoneal lavage. Four patients were found to have ductal rupture at ERCP. This was confirmed at laparotomy. Three additional patients who underwent laparotomy were found not to have a ductal rupture, although one had a pancreatic capsular laceration. The remaining 7 had clinical resolution. ERCP was 100% sensitive and specific in the diagnosis of pancreatic ductal rupture, whereas no combination of serum amylase, CT scan, and peritoneal lavage was equally effective.

Original languageEnglish
Pages (from-to)102-105
Number of pages4
JournalGastrointestinal Endoscopy
Volume34
Issue number2
StatePublished - Jan 1 1988

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Endoscopic Retrograde Cholangiopancreatography
Rupture
Peritoneal Lavage
Wounds and Injuries
Laparotomy
Hyperamylasemia
Referred Pain
Lacerations
Amylases
Abdominal Pain
Sensitivity and Specificity
Serum

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Barkin, J. S., Ferstenberg, R. M., Panullo, W., Manten, H. D., & Davis, R. C. (1988). Endoscopic retrograde cholangiopancreatography in pancreatic trauma. Gastrointestinal Endoscopy, 34(2), 102-105.

Endoscopic retrograde cholangiopancreatography in pancreatic trauma. / Barkin, Jamie S; Ferstenberg, R. M.; Panullo, W.; Manten, H. D.; Davis, R. C.

In: Gastrointestinal Endoscopy, Vol. 34, No. 2, 01.01.1988, p. 102-105.

Research output: Contribution to journalArticle

Barkin, JS, Ferstenberg, RM, Panullo, W, Manten, HD & Davis, RC 1988, 'Endoscopic retrograde cholangiopancreatography in pancreatic trauma', Gastrointestinal Endoscopy, vol. 34, no. 2, pp. 102-105.
Barkin JS, Ferstenberg RM, Panullo W, Manten HD, Davis RC. Endoscopic retrograde cholangiopancreatography in pancreatic trauma. Gastrointestinal Endoscopy. 1988 Jan 1;34(2):102-105.
Barkin, Jamie S ; Ferstenberg, R. M. ; Panullo, W. ; Manten, H. D. ; Davis, R. C. / Endoscopic retrograde cholangiopancreatography in pancreatic trauma. In: Gastrointestinal Endoscopy. 1988 ; Vol. 34, No. 2. pp. 102-105.
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