Nonresection management of the pancreas for grade III and IV blunt pancreatic injuries in children: a single center's experience

Retrospective study of 20 children with high-grade blunt pancreatic injuries managed without pancreatic resection showed favorable outcomes with conservative treatment and minimally invasive interventions. Most complications were pancreatic pseudocysts (75%) managed successfully with drainage procedures, with no mortality and minimal long-term sequelae except localized atrophy in 20% of patients.