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Pattern and outcome of traumatic gastro- intestinal injuries in ile-ife

O Olasehinde1, A O Adisa, A S Aderibigbe

  • 1Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.

The Nigerian Postgraduate Medical Journal
|April 16, 2015
PubMed

Insights

Gastrointestinal injuries from gunshots, particularly to the small intestine, are common in abdominal trauma cases. Pre-operative blood transfusions may indicate severe injury and a poorer prognosis in trauma patients.

Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery
  • Public Health in Developing Nations

Background:

  • Abdominal trauma remains a significant cause of morbidity and mortality, especially in developing regions undergoing westernization.
  • Understanding the specific patterns of gastrointestinal (GI) injuries is crucial for effective management.

Purpose of the Study:

  • To investigate the epidemiology, clinical presentation, management, and outcomes of GI injuries resulting from abdominal trauma.
  • To identify common injury mechanisms, affected anatomical sites, and associated complications.

Main Methods:

  • A retrospective analysis of patients who underwent laparotomy for abdominal trauma between January 2008 and April 2013.
  • Data collected included demographics, injury mechanisms, injury patterns, management strategies, and patient outcomes.

Main Results:

  • Gastrointestinal injuries were identified in 45 of 120 patients undergoing laparotomy for abdominal trauma.
  • Penetrating injuries, primarily from gunshots (44.4%) and road traffic accidents (37.8%), were most common.
  • The small intestine was the most frequently injured site (57.8%), with perforations occurring in 71.1% of cases. Surgical site infection was noted in 35.6%, and overall mortality was 6.7%.

Conclusions:

  • Gunshot-induced small intestine perforations represent the most prevalent gastrointestinal trauma in this setting.
  • Pre-operative blood transfusion emerged as a significant predictor of poor prognosis, likely reflecting injury severity.
Abstract

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