Complex duodenal injuries.
Duodenal trauma, with early diagnosis and prompt treatment, can be managed effectively by simple surgical techniques. Severe duodenal injuries and those associated with major destruction of adjacent structures (the pancreaticobiliary complex or abdominal vessels) require a more thoughtful strategy that incorporates a careful consideration of the physiologic stability of the patient and the extent of local destruction. Figure 8 summarizes these concepts in an algorithm.
Ivatury
R R
RR
New York Medical College, Bronx, USA.
Nassoura
Z E
ZE
Simon
R J
RJ
Rodriguez
A
A
D000465:Algorithms; D004385:Duodenostomy; D004386:Duodenum / Q000293:injuries* / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D010180:Pancreatectomy; D013536:Suture Techniques; D014947:Wounds and Injuries / Q000628:therapy