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Article
Comments on Surgical Management of Penetrating Duodenal Injuries

Author: Raafat R. Ahmad*, Talib A. Majid
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 411-417
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Duodenal injury is one of the most serious abdominal traumas that should be treated properly otherwise it may result in lethal complications.Aim:Is to apply simplified guidelines for the surgical management of duodenal injuries so that it might reduce the incidence of morbidity and mortality.CASE SERIES:During the last three years, nine patients with duodenal fistula as a result of penetrating duodenal injury were referred to Gastrointestinal and Hepatology Teaching Hospital, all these patients were reviewed to determine the severity of the duodenal injury according to the Organ Injury Scale and to discuss the surgical procedure which was performed.COMMENTS:The recommended operative management for grades I & II duodenal injury is simple primary repair, for grade III is pyloric exclusion or jejunal serosal patch, for grade IV is duodenal diverticulization, and for grade V is Whipple’s operation. In addition to that damage control surgery can be applied in certain circumstances.CONCLUSION:The simple primary repair is not sufficient treatment of moderate to severe duodenal laceration and the surgeons should adopt more advanced procedure.


Article
Operative dilemmas in pancreaticoduodenal injuries

Author: Haithem Abd Al.Khazrajee
Journal: Misan Journal of Acodemic Studies مجلة ميسان للدراسات الاكاديمية ISSN: 1994697X Year: 2017 Volume: 16 Issue: 31 Pages: 44-56
Publisher: Misan University جامعة ميسان

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Abstract

Abstract:A prospective study of 20 patients with pancreaticoduodenal injury over a period of more than 10 years, in this study we try to assess the best operative intervention for management of these injuries, minimal surgical intervention with simple gastroduodenal diversion like gastrojejunostomy was easy, simple and rapid method for management of these injuries with postoperative complications and mortality rate comparable to other studies worldwide and in nearby countries

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