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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2002, Number 3

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An Med Asoc Med Hosp ABC 2002; 47 (3)

Experience in the management of duodenal injuries with pyloric exclusion, gastrostomy and jejunostomy

Rodríguez-Ortega MF, Cárdenas-Martínez G, Gómez-García MA, López-Caro OA, Delgadillo-Gutiérrez S, Vega-Rivera F

Language: Spanish
References: 10
Page: 146-151
PDF size: 110.93 Kb.


ABSTRACT

The duodenum is surrounded by many vital structures, including the aorta, inferior vena cava, superior mesenteric vessels, portal vessels, right renovascular pedicle, and the biliary tree. A retrospective study was carried out regarding cases treated at the Red Cross Hospital Center in Mexico City with previous abdominal trauma and duodenal injury. Five patients were identified and treated with pyloric exclusion, gastrostomy and jejunostomy, the age of the patients fluctuated between 17 to 42 years old; the cases were classified according to the degree of the lesion, the recurrent one was that of the grade III (80%) and grade II (20%). The surgical approach most frequently used was that Kocher Maneuver and the second portion of the duodenum is injured more often than any other portion and pose greater technical difficulties for surgical management. Duodenal injuries remain one of the most complex challenges for trauma surgeons and the key to diagnosis is a high index of suspicion based on the injury mechanism.


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