Jove
Visualize
Contact Us

Related Experiment Videos

Duodenal injuries.

E Degiannis1, K Boffard

  • 1Department of Surgery, Medical School, University of the Witwatersrand, Johannesburg, Republic of South Africa.

The British Journal of Surgery
|November 25, 2000
PubMed
Summary

Duodenal trauma diagnosis and management have advanced. While imaging aids diagnosis, surgery is definitive for suspected injuries, with most duodenal injuries treated by simple repair.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Endovascular Therapy And Controversies In The Management Of Vascular Trauma.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2014
Same author

Operating on penetrating trauma to the mediastinal vessels.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2014
Same author

[Evisceration of intestines following abdominal stab wounds: epidemiology and clinical aspects of emergency room management].

Der Unfallchirurg·2013
Same author

Low central venous oxygen saturation in haemodynamically stabilized trauma patients is associated with poor outcome.

Acta anaesthesiologica Scandinavica·2011
Same author

[Temporary treatment of uncontrolled intrathoracic hemorrhaging with abdominal towels in combination with a rescue procedure. Damage control procedure of the chest].

Der Unfallchirurg·2010
Same author

[Operative management of penetrating injuries to the subclavian artery. Technical tutorial].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2008
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Increasing incidence of duodenal trauma globally due to road traffic accidents and firearm use.
  • Duodenal trauma presents a significant challenge in emergency medicine and surgical practice.

Purpose of the Study:

  • To review the literature on duodenal trauma diagnosis and management from 1970-1999.
  • To outline current diagnostic and therapeutic strategies for duodenal injuries.

Main Methods:

  • Comprehensive review of English language literature on duodenal trauma.
  • Analysis of diagnostic modalities including radiological studies and computed tomography.
  • Evaluation of surgical management techniques for various duodenal injury severities.

Main Results:

  • Radiological studies and CT scans can aid in diagnosing blunt duodenal trauma.
  • Exploratory laparotomy is the definitive diagnostic test for high-suspicion injuries with equivocal imaging.
  • Simple repair is effective for most duodenal injuries; complex cases require advanced techniques.

Conclusions:

  • High-risk duodenal injuries necessitate duodenal diversion to prevent suture line dehiscence.
  • Pancreaticoduodenectomy is reserved for unreconstructable injuries.
  • 'Damage control' principles should guide initial management before definitive repair.

Related Experiment Videos