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Blunt gastric injuries.

Didem Oncel1, Darren Malinoski, Carlos Brown

  • 1Department of Surgery, Division of Trauma and Critical Care, Los Angeles County/University of Southern California Medical Center, Los Angeles, California 90033, USA.

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Summary
This summary is machine-generated.

Blunt gastric injuries are rare but associated with higher severity scores. Mortality in blunt hollow viscus injuries depends on associated head and chest trauma, not the specific organ injured.

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Area of Science:

  • Trauma Surgery
  • Abdominal Trauma
  • Surgical Outcomes

Background:

  • Blunt gastric rupture is an uncommon injury.
  • Limited literature exists on blunt gastric injuries.
  • Comparison with other hollow viscus injuries is needed.

Purpose of the Study:

  • Review experience with blunt gastric injuries.
  • Compare outcomes of blunt gastric injuries with small bowel or colon injuries.
  • Identify risk factors for mortality.

Main Methods:

  • Retrospective review of patients with hollow viscus perforations from blunt abdominal trauma (1992-2005).
  • Comparison of blunt gastric injuries with small bowel or colon injuries.
  • Multivariate analysis to identify independent risk factors for mortality.

Main Results:

  • 25 blunt gastric injuries occurred out of 319 hollow viscus perforations.
  • Blunt gastric injury group had higher Injury Severity Score and chest Abbreviated Injury Score.
  • Shorter interval from injury to laparotomy in blunt gastric injury group.
  • Independent risk factors for mortality included age >55, head AIS >2, chest AIS >2, hypotension, and GCS <=8.

Conclusions:

  • Mortality in blunt hollow viscus injuries is linked to concurrent head and chest injuries.
  • The specific hollow viscus organ injured does not independently affect mortality.
  • Early recognition and management of associated injuries are crucial.