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Related Experiment Videos

Recent experiences with duodenal trauma.

R B Adkins, J E Keyser

    The American Surgeon
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Suture repair effectively manages most duodenal injuries, including extensive cases. Complex injuries involving the pancreas or bile duct may require a Whipple procedure, achieving excellent patient outcomes.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Trauma Surgery

    Background:

    • Duodenal injuries present significant management challenges.
    • A 10-year review of duodenal injury cases was conducted.
    • Understanding optimal surgical strategies for duodenal trauma is crucial.

    Observation:

    • Fifty-six patients with duodenal injuries were treated between 1974 and 1983.
    • Injuries included lacerations, perforations, hematomas, and combined injuries.
    • Most isolated injuries were managed with primary suture repair.

    Findings:

    • Suture repair was successful for most duodenal injuries.
    • The Whipple procedure was required for five complex cases involving adjacent organs.
    • Overall morbidity was 39.2%, with only 10.7% directly related to duodenal injury.

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  • Mortality rate was 5.3%.

    • Implications:

    • Careful debridement and primary closure yield excellent results for duodenal injuries.
    • The Whipple procedure is indicated for severe duodenal injuries associated with pancreatic or biliary tract damage.
    • Duodenal bypass or diverticulization were not necessary in this series.