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Diagnosis and treatment of traumatic duodenal rupture in children
BACKGROUND: The purpose of this study was to investigate the diagnosis and treatment experience of traumatic duodenal ruptures in children. METHODS: Clinical data were collected from four children suffering from a traumatic duodenal rupture who were admitted to and treated by our hospital from Janua...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840068/ https://www.ncbi.nlm.nih.gov/pubmed/35151250 http://dx.doi.org/10.1186/s12876-022-02136-w |
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author | Luo, Yuanyuan He, Xiaobing Geng, Lanlan Ouyang, Runxian Xu, Yingyi Liang, Yufeng Wu, Jinhui Zhang, Hong Ye, Zhihua Zou, Rongjun Wu, Qiang Chai, Chengwei |
author_facet | Luo, Yuanyuan He, Xiaobing Geng, Lanlan Ouyang, Runxian Xu, Yingyi Liang, Yufeng Wu, Jinhui Zhang, Hong Ye, Zhihua Zou, Rongjun Wu, Qiang Chai, Chengwei |
author_sort | Luo, Yuanyuan |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to investigate the diagnosis and treatment experience of traumatic duodenal ruptures in children. METHODS: Clinical data were collected from four children suffering from a traumatic duodenal rupture who were admitted to and treated by our hospital from January 2012 to December 2020. The early diagnosis and treatment, surgical plan, postoperative management, complications, and prognosis of each child were analyzed. The key points and difficulties of the diagnosis and treatment for this type of injury are summarized. RESULTS: One child had an extreme infection caused by drug-resistant bacteria, which resulted in severe complications, including wound infection, dehiscence, and an intestinal fistula. One child developed an anastomotic stenosis after the duodenostomy, which improved following an endoscopic balloon dilatation. The other two children had no relevant complications after their operations. All four patients were cured and discharged from hospital. The average hospital stay was 48.25 ± 26.89 days. The follow-up period was 0.5 to 1 year. No other complications occurred, and all children had a positive prognosis. CONCLUSIONS: The early identification of a duodenal rupture is essential, and surgical exploration should be carried out proactively. The principles of damage-control surgery should be followed as much as possible during the operation. Multidisciplinary cooperation and management are both important to reduce the occurrence of postoperative complications and improve cure rates. |
format | Online Article Text |
id | pubmed-8840068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88400682022-02-16 Diagnosis and treatment of traumatic duodenal rupture in children Luo, Yuanyuan He, Xiaobing Geng, Lanlan Ouyang, Runxian Xu, Yingyi Liang, Yufeng Wu, Jinhui Zhang, Hong Ye, Zhihua Zou, Rongjun Wu, Qiang Chai, Chengwei BMC Gastroenterol Research BACKGROUND: The purpose of this study was to investigate the diagnosis and treatment experience of traumatic duodenal ruptures in children. METHODS: Clinical data were collected from four children suffering from a traumatic duodenal rupture who were admitted to and treated by our hospital from January 2012 to December 2020. The early diagnosis and treatment, surgical plan, postoperative management, complications, and prognosis of each child were analyzed. The key points and difficulties of the diagnosis and treatment for this type of injury are summarized. RESULTS: One child had an extreme infection caused by drug-resistant bacteria, which resulted in severe complications, including wound infection, dehiscence, and an intestinal fistula. One child developed an anastomotic stenosis after the duodenostomy, which improved following an endoscopic balloon dilatation. The other two children had no relevant complications after their operations. All four patients were cured and discharged from hospital. The average hospital stay was 48.25 ± 26.89 days. The follow-up period was 0.5 to 1 year. No other complications occurred, and all children had a positive prognosis. CONCLUSIONS: The early identification of a duodenal rupture is essential, and surgical exploration should be carried out proactively. The principles of damage-control surgery should be followed as much as possible during the operation. Multidisciplinary cooperation and management are both important to reduce the occurrence of postoperative complications and improve cure rates. BioMed Central 2022-02-12 /pmc/articles/PMC8840068/ /pubmed/35151250 http://dx.doi.org/10.1186/s12876-022-02136-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Luo, Yuanyuan He, Xiaobing Geng, Lanlan Ouyang, Runxian Xu, Yingyi Liang, Yufeng Wu, Jinhui Zhang, Hong Ye, Zhihua Zou, Rongjun Wu, Qiang Chai, Chengwei Diagnosis and treatment of traumatic duodenal rupture in children |
title | Diagnosis and treatment of traumatic duodenal rupture in children |
title_full | Diagnosis and treatment of traumatic duodenal rupture in children |
title_fullStr | Diagnosis and treatment of traumatic duodenal rupture in children |
title_full_unstemmed | Diagnosis and treatment of traumatic duodenal rupture in children |
title_short | Diagnosis and treatment of traumatic duodenal rupture in children |
title_sort | diagnosis and treatment of traumatic duodenal rupture in children |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840068/ https://www.ncbi.nlm.nih.gov/pubmed/35151250 http://dx.doi.org/10.1186/s12876-022-02136-w |
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