Iatrogenic duodenal injuries and treatment: a report of 14 cases
10.3760/cma.j.issn.1671-7368.2011.12.021
- VernacularTitle:医源性十二指肠损伤14例原因分析及处理
- Author:
Ren YU
;
Hengfa GE
;
Baofei JIANG
;
Guoquan TAO
;
Yan QIAN
- Publication Type:Journal Article
- Keywords:
Duodenal diseases;
Treatment outcome
- From:
Chinese Journal of General Practitioners
2011;10(12):901-902
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of 14 patients with iatrogenic duodenal injuries treated in hospital from January 2000 and January 2010 were retrospectively reviewed.Iatrogenic duodenal injuries were found intraoperatively in 9 cases,in whom repair or additional jejunostomy was performed and all were cured and discharged.In 2 patients the duodenal injuries were found within 24 hours postoperatively,1 was cured,another had low flow duodenal fistula and cured with conservative treatment.Duodenal bypass and extraoral drainage were performed in 2 patients whose duodenal injuries was found 72 hours after surgery and died from severe infection of retroperitoneal space and multiple organ failure respectively.One patient whose duodenal injury was found 7 d postoperatively suffered from septic shock and died in 4 h after admission.The results suggest that early detection and early management would result in satisfied outcome for patients with iatrogenic duodenal injuries,the first 24 hours are crucial.