Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Small bowel injuries: mechanisms, patterns, and outcome

J Guarino1, J M Hassett, F A Luchette

  • 1State University of New York at Buffalo, Department of Surgery Erie County Medical Center, USA.

The Journal of Trauma
|December 1, 1995
PubMed
Summary

This study on small bowel injuries found that mechanism of injury influences operative management. Resection and stapled anastomosis proved safe, even in shock, with outcomes tied to associated injuries.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Correspondence. Nature of bonding between metallic ions and algal cell walls. Comments.

Environmental science & technology·2012
Same author

Sexual differentiation of behaviour in monkeys: role of prenatal hormones.

Journal of neuroendocrinology·2009
Same author

Early tracheostomal healing in rabbits with use of various tracheal incisions.

Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society·2006
Same author

Modeling the growth plates in the pediatric knee: implications for anterior cruciate ligament reconstruction.

Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society·2004
Same author

Ventilator-associated pneumonia in the surgical intensive care unit.

The Journal of trauma·2001
Same author

Contribution of age and gender to outcome of blunt splenic injury in adults: multicenter study of the eastern association for the surgery of trauma.

The Journal of trauma·2001

Area of Science:

  • Trauma Surgery
  • Surgical Outcomes
  • Gastrointestinal Surgery

Background:

  • Small bowel injuries require prompt diagnosis and management.
  • Understanding the relationship between injury mechanism and operative approach is crucial.

Purpose of the Study:

  • To investigate the link between mechanism of injury (MI), operative management (OM), and outcomes in traumatic jejunal and ileal wounds.
  • To evaluate an aggressive diagnostic, therapeutic, and support protocol for small bowel injuries.

Main Methods:

  • Retrospective review of 70 patients with small bowel injuries (1988-1992).
  • Analysis of MI, shock, diagnosis methods, OM, morbidity, and mortality.
  • Utilized diagnostic peritoneal lavage and explored patients within 3 hours of admission.

Related Experiment Videos

Main Results:

  • Blunt mechanisms accounted for 33% of injuries; the remainder were penetrating.
  • Grade III and IV small bowel wounds were more common with penetrating injuries.
  • Resection and stapled anastomosis was the primary OM, even in patients experiencing shock.

Conclusions:

  • Significant differences exist in MI and OM for small bowel wounds.
  • Resection and stapled anastomosis is a safe and effective management strategy, even in the presence of shock.
  • Associated injuries are the primary determinants of mortality and morbidity.