Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children
Joint Authors
Draus, John M.
Wright, Tiffany
Smiley, Katherine
Skinner, Sean
Iocono, Joseph A.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Pharmacy, Health & Medical Sciences
Pharmacology
Abstract EN
Background.
Operative blunt duodenal trauma is rare in pediatric patients.
Management is controversial with some recommending pyloric exclusion for complex cases.
We hypothesized that primary closure without diversion may be safe even in complex (Grade II-III) injuries.
Methods.
A retrospective review of the American College of Surgeons’ Trauma Center database for the years 2003–2011 was performed to identify operative blunt duodenal trauma at our Level 1 Pediatric Trauma Center.
Inclusion criteria included ages <14 years and duodenal injury requiring operative intervention.
Duodenal hematomas not requiring intervention and other small bowel injuries were excluded.
Results.
A total of 3,283 hospital records were reviewed.
Forty patients with operative hollow viscous injuries and seven with operative duodenal injuries were identified.
The mean Injury Severity Score was 10.4, with injuries ranging from Grades I–IV and involving all duodenal segments.
All injuries were closed primarily with drain placement and assessed for leakage via fluoroscopy between postoperative days 4 and 6.
The average length of stay was 11 days; average time to full feeds was 7 days.
No complications were encountered.
Conclusion.
Blunt abdominal trauma is an uncommon mechanism of pediatric duodenal injuries.
Primary repair with drain placement is safe even in more complex injuries.
American Psychological Association (APA)
Smiley, Katherine& Wright, Tiffany& Skinner, Sean& Iocono, Joseph A.& Draus, John M.. 2012. Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children. ISRN Pediatrics،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-461544
Modern Language Association (MLA)
Smiley, Katherine…[et al.]. Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children. ISRN Pediatrics No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-461544
American Medical Association (AMA)
Smiley, Katherine& Wright, Tiffany& Skinner, Sean& Iocono, Joseph A.& Draus, John M.. Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children. ISRN Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-461544
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461544