Tube Duodenostomy in Traumatic Duodenal Injuries
Background: Duodenal injury is an uncommon injury but is associated with significant morbidity and mortality Methods: In this descriptive study, 67 patients with duodenal injury were studied. Surgical algorithms were adopted in accordance with the grade of duodenal injury. Results: The incidence of...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2010-12-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/694 |
| _version_ | 1811260788454719488 |
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| author | Muhammad Ateeq |
| author_facet | Muhammad Ateeq |
| author_sort | Muhammad Ateeq |
| collection | DOAJ |
| description | Background: Duodenal injury is an uncommon injury but is associated with significant morbidity and mortality Methods: In this descriptive study, 67 patients with duodenal injury were studied. Surgical algorithms were adopted in accordance with the grade of duodenal injury. Results: The incidence of duodenal trauma was 3.1%. Age of the patients ranged from 15 to 70 years. Male to female ratio was 2.2:1. Gunshot wound (58.2%) was the commonest. Grade II injury (haematoma and laceration, involving more than one portion of duodenum) was seen in 29.85%. Majority (50.7%) were managed by primary repair and complex duodenal repair was performed in 11.94%. 88% had associated intraabdominal organ damage. Twenty three (34.3%) patients had haemorrhagic shock, five (7.4%) died peroperatively and overall mortality was 11.9%. Conclusion: Most of primary grade I and II duodenal injuries can be primarily repaired, whereas in grade III and IV complex injuries primary duodenal decompression with tube duodenostomy should be considered |
| first_indexed | 2024-04-12T18:51:47Z |
| format | Article |
| id | doaj.art-46da2dd91c344307b6a3dda2c6d13348 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-04-12T18:51:47Z |
| publishDate | 2010-12-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-46da2dd91c344307b6a3dda2c6d133482022-12-22T03:20:26ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702010-12-01142Tube Duodenostomy in Traumatic Duodenal InjuriesMuhammad Ateeq0Department of Surgery Rawalpindi Medical College RawalpindiBackground: Duodenal injury is an uncommon injury but is associated with significant morbidity and mortality Methods: In this descriptive study, 67 patients with duodenal injury were studied. Surgical algorithms were adopted in accordance with the grade of duodenal injury. Results: The incidence of duodenal trauma was 3.1%. Age of the patients ranged from 15 to 70 years. Male to female ratio was 2.2:1. Gunshot wound (58.2%) was the commonest. Grade II injury (haematoma and laceration, involving more than one portion of duodenum) was seen in 29.85%. Majority (50.7%) were managed by primary repair and complex duodenal repair was performed in 11.94%. 88% had associated intraabdominal organ damage. Twenty three (34.3%) patients had haemorrhagic shock, five (7.4%) died peroperatively and overall mortality was 11.9%. Conclusion: Most of primary grade I and II duodenal injuries can be primarily repaired, whereas in grade III and IV complex injuries primary duodenal decompression with tube duodenostomy should be consideredhttps://www.journalrmc.com/index.php/JRMC/article/view/694Tube Duodenostomyduodenal injury |
| spellingShingle | Muhammad Ateeq Tube Duodenostomy in Traumatic Duodenal Injuries Journal of Rawalpindi Medical College Tube Duodenostomy duodenal injury |
| title | Tube Duodenostomy in Traumatic Duodenal Injuries |
| title_full | Tube Duodenostomy in Traumatic Duodenal Injuries |
| title_fullStr | Tube Duodenostomy in Traumatic Duodenal Injuries |
| title_full_unstemmed | Tube Duodenostomy in Traumatic Duodenal Injuries |
| title_short | Tube Duodenostomy in Traumatic Duodenal Injuries |
| title_sort | tube duodenostomy in traumatic duodenal injuries |
| topic | Tube Duodenostomy duodenal injury |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/694 |
| work_keys_str_mv | AT muhammadateeq tubeduodenostomyintraumaticduodenalinjuries |