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[Traumas of the duodenum]

H Richelme1, D Benchimol, M Chazal

  • 1Service de Chirurgie Abdominale et Thoracique, Hôpital Pasteur, Nice.

Annales De Chirurgie
|January 1, 1993
PubMed
Summary

This study reviews duodenal trauma management, noting penetrating injuries are more severe than blunt ones due to delayed diagnosis and associated injuries. Early surgical intervention with suture-closure or resection is key, while later cases require exclusion techniques.

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Area of Science:

  • Trauma surgery
  • Gastrointestinal surgery
  • Surgical diagnostics

Context:

  • Duodenal trauma is a rare but serious injury.
  • Penetrating duodenal injuries present greater challenges than blunt trauma.
  • Delayed diagnosis and associated intra-abdominal injuries exacerbate duodenal trauma severity.

Purpose:

  • To outline current management strategies for duodenal trauma.
  • To differentiate treatment approaches based on injury type, timing of diagnosis, and anatomical location.
  • To highlight diagnostic modalities and surgical interventions for duodenal injuries.

Summary:

  • Diagnosis involves imaging like CT scans and gastroduodenography.
  • Early surgical management includes suture-closure with decompression or resection and anastomosis.
  • Complex injuries, particularly with pancreatic involvement, may necessitate pancreaticoduodenectomy.
  • Delayed presentations often require duodenal exclusion and diverticulization to mitigate leak risks.

Impact:

  • Provides a comprehensive overview of duodenal trauma care.
  • Aids clinicians in selecting appropriate diagnostic and surgical interventions.
  • Contributes to improved patient outcomes in duodenal injury management.

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