Abstract
The principle of treatment for pancreatic trauma with major pancreatic ductal injury is an operation. However, even if the pancreatic duct is injured, diffuse peritonitis can be avoided through the use of endoscopic pancreatic stents. Endoscopic pancreatic stents reduce leakage of pancreatic juice, and induce the formation of pseudocysts, which can be treated with endoscopic transgastric or transduodenal drainage. The first step of management for pancreatic trauma is to perform endoscopic retrograde pancreatography. It is important, because the treatment of pancreatic trauma depends on the injury of the major pancreatic duct. Furthermore, when interventional radiology and an operation can be performed, non-operative treatment with an endoscopic pancreatic stent is one option of treatment for pancreatic trauma with major pancreatic ductal injury.
