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Sat, 16 Feb 2002 09:30:40 -0500

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It's been my practice to drain all patients with pancreatic injury. The=20
cases that have been observed in the past have just done poorly(Class 4=20
evidence).
Ron

avir@bgumail.bgu.ac.il wrote:

>But would you explore in THIS case
>
>Avi=20
>
>>From: DocRickFry@aol.com
>>Date: 2002/02/16 =F9 PM 05:33:24 GMT+05:30
>>To: trauma-list@trauma.org
>>Subject: Re: PANCREATIC TRAUMA - What are we missing?
>>
>>In a message dated 2/16/2002 5:26:05 AM Eastern Standard Time,=20
>>Traumamd@nyc.rr.com writes:
>>
>>
>>>I agree with that. I thought there was no such thing as non-op mgmt of=
=20
>>>pancreas injury. Though I still don't think that it caused the sudden=20
>>>pulmonary decompensation in these 2 patients.
>>>
>>I have now seen a few cases , in my own experience and presented by oth=
ers,=20
>>in which nonop management has been successfully done, one with a comple=
te=20
>>major duct transection.  Remember, 100 years ago all the authorities sa=
id we=20
>>would never operate on the heart.  100 years before that they said we w=
ould=20
>>never operate on the abdomen--we continue to learn....
>>ERF
>>ERF
>>
>>
>>
>> ----------------------------------------------------------------------=
--
>>
>> In a message dated 2/16/2002 5:26:05 AM Eastern Standard Time,=20
>> Traumamd@nyc.rr.com writes:
>>
>>
>>> I agree with that. I thought there was no such thing as non-op mgmt=20
>>> of pancreas injury. Though I still don't think that it caused the=20
>>> sudden pulmonary decompensation in these 2 patients.
>>
>>
>>
>> I have now seen a few cases , in my own experience and presented by=20
>> others, in which nonop management has been successfully done, one=20
>> with a complete major duct transection.  Remember, 100 years ago all=20
>> the authorities said we would never operate on the heart.  100 years=20
>> before that they said we would never operate on the abdomen--we=20
>> continue to learn....
>> ERF
>> ERF
>

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<html>
<head>
</head>
<body>
It's been my practice to drain all patients with pancreatic injury. The c=
ases
that have been observed in the past have just done poorly(Class 4 evidenc=
e).<br>
Ron<br>
<br>
<a class=3D"moz-txt-link-abbreviated" href=3D"mailto:avir@bgumail.bgu.ac.=
il">avir@bgumail.bgu.ac.il</a> wrote:<br>
<blockquote type=3D"cite" cite=3D"mid:20020216133914.CVJD135232.doarim@%5=
B132.72.137.74%5D">
  <pre wrap=3D"">But would you explore in THIS case<br><br>Avi <br><br></=
pre>
  <blockquote type=3D"cite">
    <pre wrap=3D"">From: <a class=3D"moz-txt-link-abbreviated" href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/3D"ma=
ilto:DocRickFry@aol.com">DocRickFry@aol.com</a><br>Date: 2002/02/16 =F9 P=
M 05:33:24 GMT+05:30<br>To: <a class=3D"moz-txt-link-abbreviated" href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/3D=
"mailto:trauma-list@trauma.org">trauma-list@trauma.org</a><br>Subject: Re=
: PANCREATIC TRAUMA - What are we missing?<br><br>In a message dated 2/16=
/2002 5:26:05 AM Eastern Standard Time, <br><a class=3D"moz-txt-link-abbr=
eviated" href=3D"mailto:Traumamd@nyc.rr.com">Traumamd@nyc.rr.com</a> writ=
es:<br><br><br></pre>
    <blockquote type=3D"cite">
      <pre wrap=3D"">I agree with that. I thought there was no such thing=
 as non-op mgmt of <br>pancreas injury. Though I still don't think that i=
t caused the sudden <br>pulmonary decompensation in these 2 patients.<br>=
<br></pre>
      </blockquote>
      <pre wrap=3D"">I have now seen a few cases , in my own experience a=
nd presented by others, <br>in which nonop management has been successful=
ly done, one with a complete <br>major duct transection.  Remember, 100 y=
ears ago all the authorities said we <br>would never operate on the heart=
.  100 years before that they said we would <br>never operate on the abdo=
men--we continue to learn....<br>ERF<br>ERF<br><br><br></pre>
      <br>
      <hr width=3D"90%" size=3D"4"><br>
      <font face=3D"arial,helvetica"><font color=3D"#0000ff" size=3D"2" f=
amily=3D"SCRIPT" face=3D"Comic Sans MS" lang=3D"0"><b>
In a message dated 2/16/2002 5:26:05 AM Eastern Standard Time, <a class=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/3D=
"moz-txt-link-abbreviated" href=3D"mailto:Traumamd@nyc.rr.com">Traumamd@n=
yc.rr.com</a>
writes:<br>
      <br>
      </b></font><font color=3D"#000000" style=3D"background-color: rgb(2=
55,255,255); " size=3D"2" family=3D"SANSSERIF" face=3D"Arial" lang=3D"0">=
<br>
      <blockquote type=3D"CITE" style=3D"border-left-width: 2px; border-l=
eft-style: solid; border-left-color: rgb(0,0,255); margin-left: 5px; marg=
in-right: 0px; padding-left: 5px; ">
I agree with that. I thought there was no such thing as non-op mgmt of pa=
ncreas
injury. Though I still don't think that it caused the sudden pulmonary de=
compensation
in these 2 patients.<br>
        </blockquote>
        <br>
        </font><font color=3D"#0000ff" style=3D"background-color: rgb(255=
,255,255); " size=3D"2" family=3D"SCRIPT" face=3D"Comic Sans MS" lang=3D"=
0"><b><br>
 I have now seen a few cases , in my own experience and presented by othe=
rs,
in which nonop management has been successfully done, one with a complete
major duct transection.=A0 Remember, 100 years ago all the authorities sa=
id
we would never operate on the heart.=A0 100 years before that they said w=
e
would never operate on the abdomen--we continue to learn....<br>
 ERF<br>
 ERF</b></font></font></blockquote>
        </blockquote>
        <br>
        </body>
        </html>

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