Krige J, Jonas E, Nicol AJ, Navsaria PH. Resection and reconstruction in high-grade pancreatic head injuries. World J Gastrointest Surg 2024; 16(5): 1467-1469 [PMID: 38817297 DOI: 10.4240/wjgs.v16.i5.1467]
Corresponding Author of This Article
Jake Krige, FACS, FRCS (Ed), MBChB, MSc, PhD, Emeritus Professor, HPB Surgery, University of Cape Town Health Sciences Faculty, Anzio Road, Observatory, Cape Town 7925, Western Cape, South Africa. jej.krige@uct.ac.za
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2024; 16(5): 1467-1469 Published online May 27, 2024. doi: 10.4240/wjgs.v16.i5.1467
Resection and reconstruction in high-grade pancreatic head injuries
Jake Krige, Eduard Jonas, Andrew John Nicol, Pradeep Harkson Navsaria
Jake Krige, Eduard Jonas, HPB Surgery, University of Cape Town Health Sciences Faculty, Cape Town 7925, Western Cape, South Africa
Andrew John Nicol, Trauma Center, Department of Surgery, Groote Schuur Hospital, Cape Town 7925, Western Cape, South Africa
Pradeep Harkson Navsaria, Department of Surgery, Trauma Center, Groote Schuur Hosp, Cape Town 7925, Western Cape, South Africa
Author contributions: Krige JE and Jonas E contributed equally to this work; Krige JE and Jonas EG designed the research study; Krige JE, Jonas EG, Nicol AJ and Navsaria PH analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Conflict-of-interest statement: All authors confirm that there is no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jake Krige, FACS, FRCS (Ed), MBChB, MSc, PhD, Emeritus Professor, HPB Surgery, University of Cape Town Health Sciences Faculty, Anzio Road, Observatory, Cape Town 7925, Western Cape, South Africa. jej.krige@uct.ac.za
Received: October 13, 2023 Revised: February 3, 2024 Accepted: April 18, 2024 Published online: May 27, 2024 Processing time: 222 Days and 22.6 Hours
Abstract
This study by Chui et al adds further important evidence in the treatment of high-grade pancreatic injuries and endorses the concept of the model of pancreatic trauma care designed to optimize treatment, minimize morbidity and enhance survival in patients with complex pancreatic injuries. Although the authors have demonstrated favorable outcomes based on their limited experience of 5 patients who underwent a pancreaticoduodenectomy (PD), including 2 patients who were “unstable” and did not have damage control surgery (DCS), we would caution against the general recommendations promoting index PD without DCS in “unstable” grade 5 pancreatic head injuries.
Core Tip: This study by Chui et al adds further important evidence in the treatment of high-grade pancreatic injuries and endorses the concept of the model of pancreatic trauma care designed to optimize treatment, minimize morbidity and enhance survival in patients with complex pancreatic injuries.
