Abstract
The management of duodenal trauma remains challenging not only because of the organ’s close anatomic relationship with vascular structures and other organs but also because of its retroperitoneal location which may mask the initial symptoms and cause delays in diagnosis with dire consequences. The grading of the duodenal injuries has been developed by the American Association for the Surgery of Trauma and provides a straightforward way to communicate the severity of injury and plan the operation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended Reading
Degiannis E, Krawczykowski D, Velmahos GC, Levy RD, Souter I, Saadia R (1993) Pyloric exclusion in severe penetrating injuries of the duodenum. World J Surg 17(6):751–4
Degiannis E, Boffard K (2000) Duodenal injuries. Br J Surg 87(11):1473–9
Velmahos GC, Kamel E, Chan LS, Hanpeter D, Asensio JA, Murray JA, Berne TV, Demetriades D (1999) Complex repair for the management of duodenal injuries. Am Surg 65(10):972–5
Seamon MJ, Pieri PG, Fisher CA, Gaughan J, Santora TA, Pathak AS, Bradley KM, Goldberg AJ (2007) A 10-year retrospective review: does pyloric exclusion improve outcome after penetrating duodenal and combined pancreatoduodenal injuries? J Trauma 62(4):829–33
Lopez PP, Benjamin R, Cockburn M, Amortegui JD, Schulman CI, Soffer D, Blackbourne L, Habib F, Jerokhimov I, Trankel S, Cohn SM (2005) Recent trends in the management of combined pancreatoduodenal injuries. Am Surg 71(10):847–52
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Berlin Heidelberg
About this chapter
Cite this chapter
Velmahos, G.C. (2012). Duodenum. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20453-1_42
Download citation
DOI: https://doi.org/10.1007/978-3-642-20453-1_42
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-20452-4
Online ISBN: 978-3-642-20453-1
eBook Packages: MedicineMedicine (R0)