Role of Pyloric Exclusion in Duodenal Trauma - Historical Perspective
Keywords:Pylorus. Duodenum. Injury Severity Score. Duodenal Diseases. Abdominal Injuries. Wounds, Penetrating. Trauma Centers. Wounds, Nonpenetrating. Jejunum.
Background: Majority of duodenal injuries requires simple repair. Pyloric exclusion is recommended for injuries involving 50-70% of circumference. This adjunct procedure has specific complications. The benefit is uncertain. This review article assesses the benefit of the procedure Methods: Published literature over the last two decades was reviewed. It was sourced from indexed journals and Medline. Conclusion: The role remains equivocal. Perhaps some advantage in delayed or failed duodenal repair. The incidence of complications may be substantial.
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