García Santos Esther, Soto Sánchez Ana, Verde Juan M, Marini Corrado P, Asensio Juan A, Petrone Patrizio
Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery New York Medical College, Westchester Medical Center University Hospital, Valhalla, New York, EE. UU.
Division of Trauma Surgery and Critical Care, Department of Surgery, Creighton University, Omaha, Nebraska, EE. UU.
Cir Esp. 2015 Feb;93(2):68-74. doi: 10.1016/j.ciresp.2014.08.004. Epub 2014 Oct 27.
Duodenal injuries constitute a challenge to the Trauma Surgeon, mainly due to their retroperitoneal location. When identified, they present associated with other abdominal injuries. Consequently, they have an increased morbidity and mortality. At best estimates, duodenal lesions occur in 4.3% of all patients with abdominal injuries, ranging from 3.7% to 5%, and because of their anatomical proximity to other organs, they are rarely an isolated injury. The aim of this paper is to present a concise description of the anatomy, diagnosis, surgical management and treatment of complications of duodenal trauma, and an analysis of complications and mortality rates of duodenal injuries based on a 46-year review of the literature.
十二指肠损伤对创伤外科医生来说是一项挑战，主要是因为其位于腹膜后。一旦确诊，常伴有其他腹部损伤。因此，其发病率和死亡率都会升高。据最佳估计，在所有腹部损伤患者中，十二指肠损伤的发生率为4.3%，范围在3.7%至5%之间，并且由于其在解剖学上与其他器官相邻，很少为孤立性损伤。本文旨在简要描述十二指肠创伤的解剖结构、诊断、手术治疗及并发症处理，并基于对46年文献的回顾分析十二指肠损伤的并发症及死亡率。
