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Penetrating injuries to the stomach
R M Durham1, S Olson, J A Weigelt
1University of Texas Southwestern Medical Center, Dallas.
Surgery, Gynecology & Obstetrics
|April 1, 1991
Summary
Penetrating gastric injuries often lead to complications, particularly empyema. Age, gunshot wounds, and blood transfusions are linked to increased morbidity in these cases.
Area of Science:
- Trauma Surgery
- Surgical Gastroenterology
Background:
- Penetrating gastric injuries pose significant risks.
- Understanding factors influencing morbidity is crucial for patient outcomes.
Purpose of the Study:
- To assess the probability of morbidity from gastric wounds.
- To identify factors associated with complications in penetrating gastric injuries.
Main Methods:
- Retrospective review of 298 patients with penetrating gastric injuries.
- Multivariate analysis of 11 factors to assess morbidity probability.
- Exclusion of patients with early mortality or serosal injuries.
Main Results:
- Morbidity was assessed in 243 patients; 65 developed extensive complications, and 11 died.
- Complications were statistically associated with patient age, gunshot wounds, and >2 units of blood transfusion.
- Gastric and diaphragmatic injuries were linked to a 12.5% empyema rate.
Conclusions:
- Morbidity from penetrating gastric injuries stems from technical and infectious issues.
- Age, injury mechanism, and blood transfusion correlate with morbidity.
- Consideration of pleural lavage for combined gastric and diaphragmatic injuries is suggested due to empyema incidence.