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Penetrating duodenal trauma.

J E Hasson, D Stern, G S Moss

The Journal of Trauma

|June 1, 1984

Summary

This summary is machine-generated.

Primary repair of penetrating duodenal injuries with retrograde decompressing jejunostomy significantly reduces duodenal leaks and mortality. This safe surgical technique is recommended for treating duodenal trauma.

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Area of Science:

Gastroenterology
Surgical Trauma
Abdominal Surgery

Background:

Penetrating injuries to the duodenum present significant surgical challenges.
Duodenal leaks and fistulae are common, serious postoperative complications.

Purpose of the Study:

To evaluate the efficacy of primary repair combined with retrograde decompressing jejunostomy for penetrating duodenal injuries.
To compare this technique with other surgical approaches for duodenal trauma.

Main Methods:

Presentation of ten cases of penetrating duodenal injuries treated with primary repair, retrograde decompressing jejunostomy, and feeding jejunostomy.
Review of 563 cases of penetrating duodenal trauma from existing literature.

Main Results:

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No postoperative duodenal leaks occurred in patients treated with primary repair and retrograde decompressing jejunostomy.
This technique demonstrated the lowest mortality and incidence of postoperative duodenal fistulae compared to other methods.

Conclusions:

Primary repair with retrograde decompressing jejunostomy and feeding jejunostomy is a safe, simple, and rapid treatment for penetrating duodenal injuries.
This approach effectively minimizes duodenal leaks and associated complications.