Management of duodenal trauma.
The surgical management of fifteen cases of duodenal trauma is reported. Blunt injury of the abdomen was the commonest mode of injury. Thirteen patients (86.6%) had associated intra-abdominal and/or extra-abdominal injuries. Diagnosis of duodenal injury was made at laparotomy in all patients. In the majority of patients (n = 11), either duodenal repair, or anastomosis with the pylorus or jejunum was done. Duodenal diverticulization or pancreaticoduodenectomy were undertaken in 2 patients each. Feeding jejunostomy was an important adjunct for nutritional support. Septicemia with multisystem organ failure and duodenal fistula were lethal complications. Mortality in the present series was 46.6%.
Department of Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
G R
GR
Verma
J D
JD
Wig
S K
SK
Khanna
S M
SM
Bose
D000293:Adolescent; D000328:Adult; D002648:Child; D004386:Duodenum / Q000293:injuries*; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000453:epidemiology / Q000601:surgery*; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000601:surgery*