The surgical management of duodenal trauma. Precepts based on a review of 247 cases. Arch Surg 1980 Apr;115(4):422-9
Date
04/01/1980Pubmed ID
7362449DOI
10.1001/archsurg.1980.01380040050009Scopus ID
2-s2.0-0018841587 (requires institutional sign-in at Scopus site) 127 CitationsAbstract
The lethal potential of duodenal trauma relates to the severity of the defect, associated injuries, and the adequacy and expedience of treatment. We studied 247 patients whose injuries were managed at a single institution during an 18-year period. Emphasis was placed on complications directly related to the duodenal wound and the selection of operative repair. Repairs consisted of duodenorrhaphy in 190 patients (83%) and more complex procedures in 33 (13%). Death resulted from the duodenal injury in nine patients (4%) and fistula developed in 16 (7%). Factors associated with an increase in the morbid potential of the duodenal wound were (1) missile or blunt injury, or a defect larger than 75% of the circumference; (2) injury of the first or second portion; (3) an injury-operation delay of more than 24 hours; and (4) adjacent common bile duct injury. These factors require consideration in the selection of the operative repair.
Author List
Snyder WH 3rd, Weigelt JA, Watkins WL, Bietz DSMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Age Factors
Aged
Bile Ducts
Child
Child, Preschool
Duodenum
Female
Humans
Male
Middle Aged
Resuscitation
Sex Factors
Time Factors
Wounds, Gunshot
Wounds, Nonpenetrating
Wounds, Penetrating
Wounds, Stab
