| Effects of other intra-abdominal injuries on the diagnosis, management, and outcome of small bowel trauma. | |
| | |
MedLine Citation:
|
PMID: 11038076 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Difficulty with and delays in diagnosis are possible causes of increased morbidity and mortality in small bowel injuries. We assessed whether multiple intra-abdominal injuries led to earlier laparotomy and whether this resulted in improved outcome. METHODS: Patients with small bowel injuries between January 1993 and December 1997 from the trauma database at St. Michael's Hospital in Toronto were assessed after dividing them into those with isolated small bowel injury ("isolated") and those with small bowel injuries in association with other intra-abdominal injuries ("nonisolated"). Parameters compared were age, gender, length of stay, mortality, intra-abdominal complications, mechanism of injury, diagnostic time, and how the diagnosis was made. RESULTS: Of 1,207 patients, 244 sustained abdominal injuries, and 83 had small bowel injuries (30 patients in the isolated group and 53 in the nonisolated group). Groups were similar with respect to age and gender, yet differed significantly with respect to mechanism and mean Injury Severity Scores (isolated, 18 +/- 8 vs. nonisolated, 30 +/- 15). Outcome differed between groups, as mortality (isolated, 0 of 30 vs. nonisolated, 4 of 53 deaths), length of stay (isolated, 13 +/- 2 vs. nonisolated, 22 +/- 3 days), and patients with intra-abdominal complications (isolated, 5 of 30 vs. nonisolated, 14 of 53 patients) were significantly higher in the nonisolated group. Time to diagnosis was significantly less in the nonisolated group. Decision for laparotomy and diagnosis of small bowel injuries were based more on physical findings in the nonisolated group and on computed tomography in the isolated group. CONCLUSION: The presence of associated intra-abdominal injuries significantly affects presentation and outcome of patients with small bowel injuries and the selection of diagnostic modalities. |
| | |
Authors:
|
D J Hackam; J Ali; S S Jastaniah |
Related Documents
:
|
19590326 - Diagnosis of penetrating injuries of the pharynx and esophagus in the severely injured ... 22487786 - Surgical options for the allergic rhinitis patient. 1602516 - The injured duodenum. 12716086 - Delay in diagnosis of hollow viscus injuries: effect on outcome. 16197876 - Gossypiboma in the early postoperative period: computed tomography appearance. 16609866 - Two to nineteen years follow-up of arthroscopic meniscal repair using the outside-in te... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 49 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 2000 Oct |
Date Detail:
|
Created Date: 2000-10-20 Completed Date: 2000-11-02 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 606-10 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, University of Toronto, Ontario, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Injuries
/
diagnosis*,
mortality,
surgery Adult Female Humans Intestine, Small / injuries* Laparotomy Male Multiple Trauma / diagnosis*, surgery Ontario / epidemiology Outcome Assessment (Health Care)* Retrospective Studies Time Factors Trauma Centers / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Missed injuries in patients with multiple trauma.
Next Document: Recombinant humanized monoclonal antibody against CD18 (rhuMAb CD18) in traumatic hemorrhagic shock:...