Is pyloric exclusion the best surgery for lesions of the duodenum D3 and D4?
DOI:
https://doi.org/10.55791/rdrrha22Keywords:
Pyloric exclusion, duodenal injuryAbstract
Due to its retroperitoneal location, injuries to the duodenum are relatively rare. As a result, many general surgeons have limited experience of duodenal trauma, which is particularly the case in countries with a small population. The use of primary repair in the treatment of duodenal injuries is rising with the existing trend of a move away from surgical treatment towards less invasive procedures, and the role of pyloric exclusion has become controversial. We present two cases with lesions to D3 and D4 of the duodenum, treated by pyloric exclusion.
References
Asensio, J.A.; Feliciano, D.V.; Britt, L.; Kerstein, M.D. Management of duodenal injuries. Curr Probl Surg. 1993;30:1026-1092.
Coccolini, F, Panel WAE, Kobayashi L, Kluger Y, Moore EE, Ansaloni, L, et al. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 2019;14:56.
Weigelt JA. Duodenal inuuries. Surg Clin North Am. 1990;70:529-39.
Aiolfi, A, Matsushima K, Chang, G, Bardes, J, Strumwasser A, Lam L, et al. Surgical Trends in the Management of Duodenal Injury. J. Gastrointest. Surg. 2019;23:264-269.
Moncure M, Goins WA. Challenges in the management of pancreatic and duodenal injuries, J Natl Med Assoc. 1993;85:767-72
Ansari D, Torén W, Lindberg S, Pyrhönen HS, Andersson R. Diagnosis and management of duodenal perforations: a narrative review. Scand J Gastroenterol. 2019;54:939-944.
Reddavid R; Ballauri E, Aguilar HAR, Cardile M, Marchiori G, Sbuelz F et al. Iatrogenic duodenal perforation after surgery: a Systematic review. Indian Journal of Surgery. 2023;85:1336-45.
https://www.aast.org/resources-detail/injury-scoring-scale#duodenum
Kashuk JL, Moore EE, Cogbill TH. Management of the intermediate severity duodenal injury. Surgery. 1982;92:758-64.
Vaughan GD, Frazier OH, Graham DY, Mattox KL, Petmecky FF, Jordan GL Jr. The use of pyloric exclusion oin the managament of severe duodenal injuries. Am J Surg. 1977;134;785-90.
Ginzburg E, Martin L, Carrillo E, et al. Pyloric Exclusion: Is Concomitant Gastrojejunostomy Necessary? Abstract. 26th Annual Scientific Meeting. Alta, WY: The Western Trauma Association; 1996.
Du Bose JJ, Inaba K, Teixera P, Shiflett A, Putty B, Green D et al. Pyloric exclusion in the treatment of severe duodenal injuries: Results from the national Trauma Data Bank. Am Surg. 2008;74:925-29.
Neto JC, Pereira BMT, Ribeiro Jr MAF, Rizoli T, Fraga GP et al. Is there a role for pyloric exlusion after sever duodenal trauma? Rev Col Bras Cir. 2014;41:228-31.
Bolaji T, Ratnasakera A, Ferrada P. Managemnt of the complex duodenal injury. Am J Surg. 2023,225:639-44.
Kadkhodayan K, Hussain A, Khan H, Arain M, Yang D, Hasan MK. Endoscopic pyloric exclusion – EUS guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer. Videogie. 2023;8:121.
Downloads
Published
License
Copyright (c) 2024 South-East European Endo-Surgery Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
