Prognostic factors and management of civilian penetrating duodenal trauma.
Annual Meeting of the American College of Surgeons. Santa Fe, NM, USA, 1997/03.
This study was designed to investigate risk factors in the final outcome of patients with civilian penetrating abdominal trauma and duodenal injuries, the value of the different surgical approaches used, and to define when more complex procedures are indicated, instead of the simple primary repair.
The study design was a retrospective review of prospectively collected data of a 4-year period (July 1992 to June 1996).
A total of 167 patients were admitted with penetrating abdominal trauma and duodenal injuries at San Juan de Dios Hospital in Santafé de Bogotá, Colombia.
The independent and significant risk factors that determine the severity of duodenal injury and need for complex procedures, as identified in this series, are preoperative or intraoperative shock ; Abdominal Trauma Index higher than 25 ; and associated injuries to the pancreas, superior mesentric vessels, and colon.
These factors are associated with an increased incidence of septic complications, duodenal fistula, and late mortality.
Mots-clés Pascal : Plaie pénétrante, Duodénum, Symptomatologie, Epidémiologie, Facteur risque, Morbidité, Mortalité, Traitement, Pronostic, Homme, Traumatisme, Abdomen pathologie, Appareil digestif pathologie, Duodénum pathologie
Mots-clés Pascal anglais : Penetrating injury, Duodenum, Symptomatology, Epidemiology, Risk factor, Morbidity, Mortality, Treatment, Prognosis, Human, Trauma, Abdominal disease, Digestive diseases, Duodenal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0464976
Code Inist : 002B16G. Création : 22/03/2000.