Duodenal injuries: Small but lethal lesions

摘要: Objective: To review current concepts about definition, recognition and management of duodenal injuries. Data collection: Selective the literature (27 references) selection: The most relevant papers dealing with injuries were selected Results: Duodenal should be considered complex when injury is high grades in severity or associated extensive to pancreas distal common duct ampulla. Complex are best treated by “damage control” hemodynamically unstable patients. In stable patients, these managed repair duodenum, appropriate resection pyloric exclusion procedure. Rarely, pancreaticoduodenectomy necessary. Conclusions: trauma, an early diagnosis prompt treatment, can effectively simple surgical techniques. Severe those major destruction adjacent structures (the pancreatobiliary abdominal vessels) require a more thoughtful strategy that incorporates careful consideration physiologic stability patient extent local destruction.