Iatrogenic duodenal injuries and treatment: a report of 14 cases

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.