Management outcome of Duodenal Trauma

Abstract

This study was carried out on 42 patients of duodenal trauma managed in North Surgical Unit of Mayo Hospital, Lahore from June 1998 to May 2004. It was done to determine the cause of duodenal trauma and the management. Duodenal injury along with injury to other abdominal viscera is more common than isolated duodenal injury. Penetrating injuries are more frequent than blunt trauma. Primary duodenal repair (19%), repair with tube duodenostomy (30%), repair with pyloric exclusion and gastrojejunostomy (12%), pancreaticoduodenectomy (7%), resection of third & fourth part followed by duodenojejunal anastomosis (21%), tube duodenostomy (5%) were the procedures performed. Wound infection, intra-abdominal abscess, duodenal fistula and wound dehiscence were common postoperative complications. Early diagnosis, prompt resuscitation and operation and a tailor made approach in expert hands leads to better outcome.