Whipple Operation in Trauma
Y. Kluger, R. Hadad, D. Soffer, D. Aladgem, J.Y. Klausner
Depts. of Surgery A, B, C and Trauma Service, Tel Aviv Medical Center and Sackler Faculty of Medicine, Tel Aviv University
Pancreato-duodenectomy is a formidable operation for the critically injured patient. We describe a patient who sustained a stab wound to the stomach and duodenum. At operation this injury could not be reconstructed. A Whipple operation was performed in which the pancreatic stump was stapled and recovery was uneventful, although there was a low output fistula from the pancreatic stump. Limited indications for the Whipple procedure in trauma patients are suggested.