Boutelier P
Ann Gastroenterol Hepatol (Paris). 1984 Oct-Nov;20(5):271-4.
Wounds of the digestive tract most commonly observed in civil practice are those due to violent aggression or fighting. Two-thirds of the times, the wounds are caused by firearms. Upon reception of such victims it is essential to determine the precise time of the incident, their state of shock and the presence of abdominal signs (contracture or evisceration). The midline laparotomy must be large enough to allow a complete survey of the abdomen (incidence of associated visceral or vascular lesions). The most delicate therapeutic problem is posed by wounds of the colon. The conditions under which it is currently recommended to forget systematic colostomy are defined in the discussion.
在临床实践中，最常见的消化道创伤是由暴力袭击或斗殴导致的。其中，三分之二的创伤是由火器造成的。接收此类伤者时，必须确定事故的确切时间、他们的休克状态以及腹部体征（挛缩或脏器脱出）的存在情况。中线剖腹术的切口必须足够大，以便能对腹部进行全面检查（查看是否存在相关的内脏或血管损伤）。最棘手的治疗问题来自结肠创伤。讨论中明确了目前建议不进行常规结肠造口术的条件。
