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.
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine