Author(s):
1. Muhammad Ateeq:
Department of Surgery Rawalpindi Medical College Rawalpindi, Pakistan
2. Shazia Jehan:
Department of Surgery Rawalpindi Medical College Rawalpindi, Pakistan
3. Muhammad Akram:
Department of Anatomy Sargodha Medical College Sargodha, Pakistan
4. Faisal G Bhopal:
Department of Surgery Rawalpindi Medical College Rawalpindi, Pakistan
Abstract:
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
Page(s):
64-66
DOI:
DOI not available
Published:
Journal: Journal of Rawalpindi Medical College, Volume: 14, Issue: 2, Year: 2010
Keywords:
Tube Duodenostomy
,
duodenal injury
References:
References are not available for this document.
Citations
Citations are not available for this document.