Hasson J E, Stern D, Moss G S
J Trauma. 1984 Jun;24(6):471-4. doi: 10.1097/00005373-198406000-00002.
Ten cases of penetrating injuries to the duodenum are presented. Six injuries were treated with primary repair, retrograde decompressing jejunostomy, and feeding jejunostomy. There was no postoperative duodenal leak in any patient treated with primary repair and retrograde decompressing jejunostomy. In a review of 563 cases of penetrating duodenal trauma, the superiority of primary repair of duodenal injuries with decompression of the suture line by a tube inserted in a remote site of the bowel (stomach or jejunum) was demonstrated. This technique afforded the lowest mortality and incidence of postoperative duodenal fistulae. When applicable, primary repair with retrograde decompressing jejunostomy and feeding jejunostomy is a rapid, simple, and safe method for the treatment of penetrating duodenal injuries.
本文报告了10例十二指肠穿透伤病例。6例损伤采用一期修复、逆行减压空肠造口术和空肠造口喂养术进行治疗。接受一期修复和逆行减压空肠造口术治疗的患者均未出现术后十二指肠瘘。在对563例十二指肠穿透伤病例的回顾中，证实了通过在肠道远端部位（胃或空肠）插入导管对十二指肠损伤进行一期修复并对缝合线进行减压的优越性。该技术的死亡率和术后十二指肠瘘发生率最低。在适用的情况下，一期修复加逆行减压空肠造口术和空肠造口喂养术是治疗十二指肠穿透伤的一种快速、简单且安全的方法。
