Asensio JA, Martín GW, Petrone P, Pardo M, García JC, García NLM, Karsidag T, Kuncir E

Language: Spanish
References: 19
Page: 245-249
PDF size: 51.90 Kb.

ABSTRACT

Objective:To analyze the most relevant aspects of the surgical handling of duodenal injuries.
Setting:Third level health care hospital.
Data collection:By means of MEDLINE, 18 articles related to the subject were chosen.
Selection of studies:We selected those studies dealing with surgical aspects and offering data on morbidity and mortality.
Results:Once the diagnosis has been made, the extent of the injury must be defined and classified according to the AAST-OIS (American Association for Surgery of Trauma and Organs Injury Scale) system; grade III to V injuries are considered complex ones. Seventy-five to eighty-five percent of the duodenal injuries can be repaired with simple surgical techniques. Post-surgical morbidity ranges from 6 to 11% and consists basically in fistulae and duodenal obstruction; other complications are abscesses, pancreatitis, and biliary fistula. Mortality ranges from 5 to 30%, with a mean of 17%, but duodenal injury by itself accounts for 2% of the deaths.
Conclusion:Duodenal trauma is not frequent, although it is associated to a high rate of morbidity and mortality.

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