Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of duodenal injuries

Ajai Malhotra; Walter L. Biffl; Ernest E. Moore; Martin Schreiber; Roxie A. Albrecht; Mitchell Cohen; Martin Croce; Riyad Karmy-Jones; Nicholas Namias; Susan Rowell; David V. Shatz; Karen J. Brasel

doi:10.1097/TA.0000000000000870

Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of duodenal injuries

Ajai Malhotra, Walter L. Biffl, Ernest E. Moore, Martin Schreiber, Roxie A. Albrecht, Mitchell Cohen, Martin Croce, Riyad Karmy-Jones, Nicholas Namias, Susan Rowell, David V. Shatz, Karen J. Brasel

Research output: Contribution to journal › Article › peer-review

35 Scopus citations

Abstract

Duodenal injuries are uncommon but can be devastating. Almost 80% of the injuries are from penetrating mechanisms. Repair of injuries should only be performed in stable patients. The anatomy of the injury, patient status, and degree of contamination should be carefully evaluated in deciding the type of repair that will be most appropriate. The large majority of the injuries can be repaired by simple techniques with attention to good vascularity and tension-free repairs. A small minority of the injuries require complex reconstruction. The outcome of patients with duodenal injuries is more dependent on associated injuries and the timing of repair rather than the anatomy of the injury or the type of repair performed. Duodenal fistula and obstruction are the two principal sources of morbidity.

Original language	English (US)
Pages (from-to)	1096-1101
Number of pages	6
Journal	Journal of Trauma and Acute Care Surgery
Volume	79
Issue number	6
DOIs	https://doi.org/10.1097/TA.0000000000000870
State	Published - Dec 1 2015

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

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10.1097/TA.0000000000000870

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Malhotra, A., Biffl, W. L., Moore, E. E., Schreiber, M., Albrecht, R. A., Cohen, M., Croce, M., Karmy-Jones, R., Namias, N., Rowell, S., Shatz, D. V., & Brasel, K. J. (2015). Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of duodenal injuries. Journal of Trauma and Acute Care Surgery, 79(6), 1096-1101. https://doi.org/10.1097/TA.0000000000000870

Malhotra, A, Biffl, WL, Moore, EE, Schreiber, M, Albrecht, RA, Cohen, M, Croce, M, Karmy-Jones, R, Namias, N, Rowell, S, Shatz, DV & Brasel, KJ 2015, 'Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of duodenal injuries', Journal of Trauma and Acute Care Surgery, vol. 79, no. 6, pp. 1096-1101. https://doi.org/10.1097/TA.0000000000000870

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AU - Cohen, Mitchell

AU - Croce, Martin

AU - Karmy-Jones, Riyad

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AB - Duodenal injuries are uncommon but can be devastating. Almost 80% of the injuries are from penetrating mechanisms. Repair of injuries should only be performed in stable patients. The anatomy of the injury, patient status, and degree of contamination should be carefully evaluated in deciding the type of repair that will be most appropriate. The large majority of the injuries can be repaired by simple techniques with attention to good vascularity and tension-free repairs. A small minority of the injuries require complex reconstruction. The outcome of patients with duodenal injuries is more dependent on associated injuries and the timing of repair rather than the anatomy of the injury or the type of repair performed. Duodenal fistula and obstruction are the two principal sources of morbidity.

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Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of duodenal injuries

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