ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Pediatric pancreatic trauma: a 10-year retrospective analysis from two high-complexity centers in Medellín, Colombia.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePediatric pancreatic trauma is uncommon, but it is associated with significant morbidity and an ongoing debate regarding its management. Hemodynamic stability and pancreatic duct involvement are key factors in treatment decisions.
methodsA retrospective study analyzed 25 pediatric patients with pancreatic trauma treated between 2010 and 2020 at two high-complexity hospitals in Medellin. Clinical variables, trauma mechanism, imaging findings, management, and complications were analyzed.
resultsBlunt trauma was the predominant mechanism (64%). Preoperative computed tomography was performed in 12 patients (48%); radiological AAST grading was not retrievable in 13 (52%). Immediate surgery was performed in 13 patients (52%), predominantly driven by associated intra-abdominal injuries rather than the pancreatic injury itself. Non-operative management was initially attempted in 9 patients (36%), with a 56% success rate; failures (44%) were related to clinical deterioration and progression of peripancreatic collections. Clinically relevant postoperative pancreatic fistula (ISGPS Grade B) occurred in 3 of 13 operated patients (23%), with a mean closure time of 55.6 days (range 18-110); no Grade A or Grade C fistulas were recorded. Other complications included post-traumatic pancreatitis (24%), pancreatic pseudocyst (8%), and organ/space surgical site infection (8%); most were Clavien-Dindo Grade IIIa. No in-hospital or 30-day deaths occurred.
conclusionsIn this Latin American dual-centre cohort, non-operative management was feasible in hemodynamically stable children, while operative management was largely dictated by associated injuries rather than pancreatic injury itself. Clinically relevant POPF was the dominant driver of morbidity. Accurate grading, ductal assessment, and standardised outcome reporting (ISGPS, Clavien-Dindo) are essential to guide management and benchmark results.
Indexed as
Identifiers
42201546What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.