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Blunt gastric injury. A multicentre experience
V Bruscagin1, R Coimbra, S Rasslan
1Emergency Service, Department of Surgery, Santa Casa School of Medicine, São Paulo, Brazil. vbruscagin@uol.com.br
Injury
|January 5, 2002
Summary
Blunt gastric injuries are rare, often resulting from pedestrian accidents. Associated injuries significantly impact patient outcomes and mortality rates, more so than the gastric injury severity itself.
Area of Science:
- Traumatology
- Surgical Gastroenterology
Background:
- Blunt gastric injuries are infrequently documented in trauma literature.
- Understanding the epidemiology and outcomes of these injuries is crucial for effective management.
Purpose of the Study:
- To analyze the characteristics, treatment, and outcomes of blunt gastric injuries.
- To identify factors influencing morbidity and mortality in patients with blunt gastric trauma.
Main Methods:
- Retrospective multicentre analysis of 33 patients with blunt gastric injuries.
- Data collected from four Brazilian trauma centres between January 1982 and May 1996.
- Injury grading, associated injuries, treatment modalities, and outcomes were reviewed.
Main Results:
- Automobile versus pedestrian incidents were the most common cause.
- Abdominal pain and peritoneal signs were frequent findings.
- Simple suture was the primary treatment; overall morbidity was 36% and mortality was 27%.
Conclusions:
- Blunt gastric injury is uncommon and often occurs with more severe associated injuries.
- The severity of associated injuries, rather than the gastric injury score, significantly influences mortality.
- Gastric fistulae were associated with a high mortality rate.