Penetrating injuries to the pancreas and duodenum are uncommon occurring in 4% and 6% of patients, respectively. Which of the following statement(s) is/are true concerning the management of pancreaticoduodenal injuries?
A. The Kocher maneuver is essential for providing exposure for the duodenum
B. A large injury of the duodenum which cannot be closed primarily will always require a pancreaticoduodenectomy
C. Pyloric exclusion involves suture or staple closure of the pylorus, gastrojejunostomy, tube decompression of the duodenum, and placement of a T-tube in the common bile duct
D. Class III injuries of the head of the pancreas should be treated with simple external drainage rather than resection
Answer:A
Penetrating injuries to the pancreas and duodenum are uncommon occurring in 4% and 6% of patients, respectively. Which of the following statement(s) is/are true concerning the management of pancreaticoduodenal injuries?
A. The Kocher maneuver is essential for providing exposure for the duodenum B. A large injury of the duodenum which cannot be closed primarily will always require a pancreaticoduodenectomy C. Pyloric exclusion involves suture or staple closure of the pylorus, gastrojejunostomy, tube decompression of the duodenum, and placement of a T-tube in the common bile duct D. Class III injuries of the head of the pancreas should be treated with simple external drainage rather than resection