Duodenal Fistola Problems in Management

Albright, Hollis L.; Leonard, Field C.

doi:10.1097/00000658-195007000-00006

Cited by 10 publications

(1 citation statement)

References 4 publications

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“…Of these injuries, 77.7% are due to penetrating trauma and 22.3% secondary to blunt trauma 2 , 17 . Isolated injuries of the duodenum are not frequent, it is necessary to always keep present the high frequency of associated injuries; this is due to the closeness to mayor vascular structures 5 . Thus, the duodenum is the third most affected digestive structure by blunt trauma, preceded by injuries in jejunum-ileum and colon-rectum 18 for which it´s recognition and early treatment is important 21 .…”

Section: Introductionmentioning

confidence: 99%

Parietal Peritoneum Graft for Duodenum Injuries in an Animal Model

Castillo¹,

Flores-Plascencia²,

Pérez-Montiel

et al. 2019

ABCD, arq. bras. cir. dig.

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Background: Duodenal injuries and their surgical procedure cause a high morbidity and mortality. Aim:To assess the overall effectiveness of the auto-graft of peritoneum in the treatment of the perforation of the duodenum, aiming to reduce surgery time, costs, complexity and mortality. Methods:Twelve New Zealand rabbits, ages 4-6 months, both sexes, underwent designed surgical grade III duodenal injuries that were repaired 18 h after. Rabbits were surgically treated with the proposed auto-graft of peritoneum. Results:No postoperative deaths were observed; the animals presented corporal weight increase and were euthanized six months later. There was no significant difference between both groups relating to the postoperative evolution or in the histological changes. Conclusion: Auto-graft of the peritoneum and posterior fascia is a useful option for duodenal repair and that is worth of evaluation for humans.

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