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Diagnosis and treatment of traumatic duodenal rupture in children

Yuanyuan Luo1,2, Xiaobing He1,2, Lanlan Geng1

  • 1Department of Gastrointestinal Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Zhujiang New Town, Tianhe District, Guangzhou City, 510623, Guangdong Province, China.

BMC Gastroenterology
|February 13, 2022
PubMed

Insights

Early diagnosis and proactive surgical exploration are crucial for treating traumatic duodenal ruptures in children. Following damage-control principles and multidisciplinary care improves outcomes and reduces complications.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Traumatic duodenal ruptures are rare but serious injuries in children.
  • Effective management requires prompt diagnosis and intervention.

Purpose of the Study:

  • To investigate the diagnosis and treatment experience of traumatic duodenal ruptures in pediatric patients.
  • To summarize key challenges and best practices for managing these injuries.

Main Methods:

  • Retrospective analysis of clinical data from four pediatric patients with traumatic duodenal rupture.
  • Evaluation of early diagnosis, surgical approach, postoperative care, complications, and prognosis.

Main Results:

  • All four patients were successfully treated and discharged with a positive prognosis.
  • One patient experienced severe complications due to resistant bacterial infection.
  • Another patient developed anastomotic stenosis, successfully treated with endoscopic balloon dilatation.

Conclusions:

  • Early identification and proactive surgical exploration are essential for traumatic duodenal rupture in children.
  • Adherence to damage-control surgery principles and multidisciplinary management are vital.
  • These strategies can reduce postoperative complications and enhance cure rates.
Abstract

Keywords:
ChildrenDiagnosisDuodenal ruptureMultidisciplinaryPostoperative managementSurgery

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