title: [Effect of diagnostic imaging techniques on choice of therapy and prognosis of traumatic pancreas and duodenal injuries].
abstract: 27 patients with pancreatic and 8 with duodenal injuries were studied, 66% of whom had associated abdominal injuries. Peritoneal lavage was performed in 10 cases, and ultrasonography in 15. Laparotomy was considered to be indicated on the basis of the results in 9 cases of peritoneal lavage and in 12 cases of ultrasound examination, but in only 1 case and 2 cases, respectively, did the findings constitute the only reason for performing a laparotomy. Pancreatic and duodenal injuries were directly confirmed by ultrasonography and computer tomography only in a minority of cases. The morbidity of pancreatic and duodenal injuries was 66% and 25%, respectively, and lethality, 19% and 25%. Despite modern imaging techniques, clinical examination is of paramount importance for the decision as to whether operative therapy is indicated; delay leads to increased morbidity and lethality.
authors.affiliation: Chirurgische Universitätsklinik, Heidelberg.
authors.forename: S
authors.initials: S
authors.lastname: Riedl
authors.forename: H J
authors.initials: HJ
authors.lastname: Buhr
authors.forename: C
authors.initials: C
authors.lastname: Herfarth
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D004386:Duodenum / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D010179:Pancreas / Q000293:injuries*; D010533:Peritoneal Lavage; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D011379:Prognosis; D015996:Survival Rate; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000401:mortality / Q000601:surgery
vernacular_title: Einfluss bildgebender diagnostischer Verfahren auf Therapiewahl und Prognose traumatischer Pankreas- und Duodenalverletzungen.