[Injuries of the duodenum].

Publisher: Izdatelstvo Meditsina Country of Publication: Russia (Federation) NLM ID: 0411377 Publication Model: Print Cited Medium: Print ISSN: 0042-4625 (Print) Linking ISSN: 00424625 NLM ISO Abbreviation: Vestn Khir Im I I Grek Subsets: MEDLINE

Publication: St Petersburg : Izdatelstvo Meditsina
Original Publication: Leningrad, Meditsina [etc.]

Abdominal Injuries*/diagnosis ; Abdominal Injuries*/epidemiology ; Abdominal Injuries*/surgery; Duodenum/*injuries ; Laparoscopy/*methods ; Laparotomy/*methods ; Radiography, Abdominal/*methods; Diagnosis, Differential ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Multiple Trauma/diagnosis ; Multiple Trauma/epidemiology ; Prognosis ; Retrospective Studies ; Rupture ; Russia/epidemiology ; Survival Rate ; Trauma Severity Indices ; Wounds, Nonpenetrating/diagnosis ; Wounds, Nonpenetrating/epidemiology ; Wounds, Nonpenetrating/surgery ; Wounds, Penetrating/diagnosis ; Wounds, Penetrating/epidemiology ; Wounds, Penetrating/surgery

Based on an experience with treatment of 68 patients with injuries of the duodenum the authors have developed a diagnostic algorithm always permitting the diagnosis of injuries of the retroperitoneal part of the duodenum. A classification of severity of the duodenal injury was proposed determining the volume and type of surgery. Using the proposed therapeutic-diagnostic program decreased postoperative lethality from 52.4% to 11.8% in patients with wounds and from 60% to 13.4% in patients with closed injury of the duodenum.

Date Created: 20080417 Date Completed: 20080520 Latest Revision: 20080416

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