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Pancreaticoduodenal trauma (PDT) is associated with substantial mortality and morbidity. In this study, contemporary trends were analysed using national data.

The Nationwide Inpatient Sample for 1998–2009 was queried for patients with PDT. Interventions including any operation (Any‐Op) and pancreas‐specific surgery (PSURG) were identified. Trends in treatment and outcomes were determined [complications, length of stay (LoS), mortality] for the Any‐Op, PSURG and non‐operative (Non‐Op) groups. Analyses included chi‐squared tests, Cochran–Armitage trend tests and logistic regression.

A total of 27 216 patients (nationally weighted) with PDT were identified. Over time, the frequency of PDT increased by 8.3%, whereas the proportion of patients submitted to PSURG declined (from 21.7% to 19.8%; P = 0.0004) and the percentage of patients submitted to non‐operative …