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  1. Prognostic factors and management of civilian penetrating duodenal trauma.

    Article, Communication - En anglais

    Annual Meeting of the American College of Surgeons. Santa Fe, NM, USA, 1997/03.

    Objective 

    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.

    Methods 

    The study design was a retrospective review of prospectively collected data of a 4-year period (July 1992 to June 1996).

    Results 

    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.

    Conclusion 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0464976

    Code Inist : 002B16G. Création : 22/03/2000.