Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	86817
Country	South Africa

Received	2023-10-13 11:07
Peer-Review Started	2023-10-13 11:09
To Make the First Decision
Return for Revision	2023-12-15 08:32
Revised	2024-02-03 22:46
Second Decision	2024-04-18 02:39
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2024-04-18 05:11
Articles in Press	2024-04-18 05:11
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2024-05-15 03:11
Publish the Manuscript Online	2024-05-23 09:40

ISSN	1948-9366 (online)
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Category	Surgery
Manuscript Type	Letter to the Editor
Article Title	Resection and reconstruction in high-grade pancreatic head injuries
Manuscript Source	Unsolicited Manuscript
All Author List	Jake Krige, Eduard Jonas, Andrew John Nicol and Pradeep Harkson Navsaria
ORCID	Author(s) ORCID Number Jake Krige http://orcid.org/0000-0002-7057-9156 Eduard Jonas http://orcid.org/0000-0003-0123-256X Andrew John Nicol http://orcid.org/0000-0002-7361-309X Pradeep Harkson Navsaria http://orcid.org/0000-0002-5152-3317
Funding Agency and Grant Number
Corresponding Author	Jake Krige, FACS, FRCS (Ed), MBChB, MSc, PhD, Emeritus Professor, HPB Surgery, University of Cape Town Health Sciences Faculty, Anzio Road, Observatory, Cape Town 7925, Western Cape, South Africa. jej.krige@uct.ac.za
Key Words	Pancreas; Injury; Surgery; Pancreaticoduodenectomy
Core Tip	This study by Chui et al adds further important evidence in the treatment of high-grade pancreatic injuries and endorses the concept of the model of pancreatic trauma care designed to optimize treatment, minimize morbidity and enhance survival in patients with complex pancreatic injuries. Although the authors have demonstrated favorable outcomes based on their limited experience of 5 patients who underwent a PD, including 2 patients who were “unstable” and did not have DCS, we would caution against the general recommendations promoting index PD without DCS in “unstable” Grade 5 pancreatic head injuries. Severe injuries involving the pancreas head continue to be a considerable cause of morbidity and mortality. We agree with the authors’ assessment that an individualized and multidisciplinary approach using modern resuscitation and expert consultation when needed is the most prudent treatment model for complicated high grade V pancreatic patients. We have previously recommended that our own facility practice with close collegial cooperation between trauma and HPB surgeons in complex injuries with a low threshold to involve an experienced HPB surgical team day or night should be central in the modern pancreatic trauma management paradigm. Familiarity with and competence in pancreatic head surgery bring essential special organ-specific surgical skills and expertise, including IOUS, endoscopic proficiencies, both for the experienced operative assessment and the technical dexterities required for resection and reconstruction of complex pancreatic injuries.
Publish Date	2024-05-23 09:40
Citation	<p>Krige J, Jonas E, Nicol AJ, Navsaria PH. Resection and reconstruction in high-grade pancreatic head injuries. <i>World J Gastrointest Surg</i> 2024; 16(5): 1467-1469</p>
URL	https://www.wjgnet.com/1948-9366/full/v16/i5/1467.htm
DOI	https://dx.doi.org/10.4240/wjgs.v16.i5.1467

Full Article (PDF)	WJGS-16-1467-with-cover.pdf
Manuscript File	86817_Auto_Edited-YJP.docx
Answering Reviewers	86817-Answering reviewers.pdf
Audio Core Tip	86817-Audio core tip.aac
Conflict-of-Interest Disclosure Form	86817-Conflict-of-interest statement.pdf
Copyright License Agreement	86817-Copyright license agreement.pdf
Non-Native Speakers of English Editing Certificate	86817-Language certificate.pdf
Peer-review Report	86817-Peer-review(s).pdf
Scientific Misconduct Check	86817-Bing-Lin C-2.png
Scientific Editor Work List	86817-Scientific editor work list.pdf
CrossCheck Report	86817-CrossCheck.png
CrossCheck Report	86817-CrossCheck report.pdf