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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2009 / Cilt: 15 - Sayı: 1

Penetran ince barsak yaralanmalarında ek organ yaralanmasının morbidite ve mortalite üzerine etkisi

Effects of additional intra-abdominal organ injuries in patients with penetrating small bowel trauma on morbidity and mortality

MEHMET ULUDAĞ
Gürkan YETKİN
BÜLENT ÇİTGEZ
Faruk YENER
İsmail AKGÜN
Arslan ÇOBAN
Pages
45–51
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Injury severity score (ISS) and PATI may be useful for estimating the risk of development of complications.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: We aimed to evaluate the effects on morbidity and mortality of additional organ injuries obtained concurrently with penetrating small bowel injuries.
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Key Findings & Data:METHODS: Between January 2000 and March 2005, patients in whom penetrating small bowel injuries occurred as a result of abdominal injuries were allocated into two groups and assessed.
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Conclusion & Impact:Injury severity score (ISS) and PATI may be useful for estimating the risk of development of complications.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Ameliyat sonrası komplikasyonlar · Bağırsak · ince

Abstract

BACKGROUND: We aimed to evaluate the effects on morbidity and mortality of additional organ injuries obtained concurrently with penetrating small bowel injuries. METHODS: Between January 2000 and March 2005, patients in whom penetrating small bowel injuries occurred as a result of abdominal injuries were allocated into two groups and assessed. The first group included patients with isolated small bowel injuries, while those in the second group had small bowel injuries together with other intra-abdominal organ injuries. RESULTS: Small bowel injury was identified in 38 patients (34 M, 4 F) with an average age 38.1±8.86 (17-53) years (Group I: 20 patients; Group II: 18 patients). The PATI (penetrating abdominal trauma index) values of the first and second groups were 6.2±2.58 and 17±6.36, respectively, and the difference was statistically significant (p<0.001). Complication rates were 23.68% for the whole group, 5% in group I and 44.8% in group II. The rate was significantly higher in group II (p<0.01). Mortality was 2.63% and it was not related to intestinal injury. CONCLUSION: Isolated penetrating small bowel injuries are amenable to treatment with lower complication rates. Additional organ injury increases the development of complications. Injury severity score (ISS) and PATI may be useful for estimating the risk of development of complications.

Özet

AMAÇ: İnce bağırsak yaralanmalarında ek organ yaralanması varlığının komplikasyon ve mortalite üzerine etkileri değerlendirildi. GEREÇ VE YÖNTEM: 2000-2005 yılları arasında kliniğimizde penetran karın yaralanması sonucu ince bağırsak yaralanması olan hastalar iki gruba ayrılarak değerlendirildi. Grup I’de izole ince bağırsak yaralanmaları, grup II’de diğer karın organları ile birlikte ince bağırsak yaralanması olan hastalar toplandı. Bu iki gruptaki hastaların verileri karşılaştırıldı. BULGULAR: Yaş ortalaması 38,1±8,86 (dağılım 17-53) olan 38 hastada (34E, 4K) ince bağırsak yaralanması saptandı; olguların 20’si grup I’de, 18’i grup II’de yer aldı. İki grubun sırası ile PATI (penetrating abdominal trauma index) değerleri 6,2±2,58, 17±6,36 idi, grup II’de anlamlı olarak daha yüksekti (p<0,001). Toplam komplikasyon oranı %23,68 bulundu; grup I’de %5, grup II’de %44,8 olup anlamlı olarak yüksekti (p<0,01). Yatış süresi grup II’de anlamlı olarak yüksekti (grup I: 5,95±4,63 gün, grup II: 9,38±3,8 gün) (p<0,01). Mortalite oranı %2,63 olup, ince bağırsak yaralanmasına bağlı değildi. SONUÇ: İzole ince bağırsak yaralanmaları düşük komplikasyon oranları ile tedavi edilebilir. İnce bağırsak yaralanmalarında ek organ yaralanmasının varlığı komplikasyon gelişimini arttırmaktadır. Yaralanma Şiddeti Ölçeği (ISS) ve PATI skorları komplikasyon gelişimi riskini tahmin etmede kullanılabilir.

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Cite This Article

ULUDAĞ, M., YETKİN, G., ÇİTGEZ, B., YENER, F., AKGÜN, İ., ÇOBAN, A. (2009). Penetran ince barsak yaralanmalarında ek organ yaralanmasının morbidite ve mortalite üzerine etkisi. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 15 - Sayı: 1, 45–51. https://ajindex.com/articles/324770

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