Gastro-intestinal injuries in abdominal trauma.
Management of 55 patients of gastro-intestinal injuries has been reviewed. Eighty percent of the patients presented with generalised peritonitis and jejunum was the commonest segment of the bowel injured. Pneumoperitoneum co-related poorly with intestinal disruption. It was present in 35.8 per cent of the cases. Repeated physical examination was found to be paramount importance. Sixty percent of the patients has associated intra-extra-abdominal injuries. Preoperative shock, multiple hollow visceral injury, septicemia, and location of injury (colon and duodenum) were significant prognostic factors associated with the high mortality. Mortality in the series was 25.4 per cent.
Verma
G R
GR
Department of Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh.
Wig
J D
JD
Kaushik
S P
SP
Yadav
R V
RV
D000007:Abdominal Injuries / Q000150:complications* / Q000401:mortality / Q000601:surgery; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005767:Gastrointestinal Diseases / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis