INTRODUCTIONGastrointestinal injury

INTRODUCTION

Gastrointestinal injury of the stomach, small bowel, colon, or rectum can be due to blunt or penetrating trauma. The nature and severity of the injury depends upon the injury mechanism. Injuries range from minor bruising to complete devascularization for blunt injuries and small perforations to devascularization for penetrating injuries. Associated solid organ injury is common.

The duodenum is frequently injured in association with the pancreas and the management of these combined injuries is complex. The diagnosis and management of duodenal injuries are reviewed separately. (See "Management of duodenal and pancreatic trauma in adults".)

The diagnosis and management of gastrointestinal injury (except duodenum) due to trauma is reviewed here. The general approach to the abdominal trauma patient is discussed elsewhere. (See "Initial evaluation and management of blunt abdominal trauma in adults" and "Initial evaluation and management of abdominal stab wounds in adults" and "Initial evaluation and management of abdominal gunshot wounds in adults".)

ANATOMY

ผลลัพธ์ (แอฟริกา) 1:

INLEIDING maag besering van die maag, dunderm en dikderm, of rektum kan word as gevolg van trauma of indringende stomp. Die aard en erns van die besering is afhanklik van die besering meganisme. Beserings wissel van geringe kneusing aan devascularization voltooi vir stomp beserings en ​​klein perforasies om devascularization vir indringende beserings. Solid geassosieer orrel besering is algemeen. Die duodenum word dikwels Beseerde in samewerking met die pankreas en die bestuur van hierdie beserings is kompleks gekombineer. Die diagnose en hantering van duodenale beserings word afsonderlik beoordeel. (Sien "Bestuur van duodenale en pankreas trauma in volwassenes".) Die diagnose van die maag besering en Bestuur (behalwe duodenum) as gevolg van trauma hier hersien. Die algemene benadering tot die abdominale trauma pasiënt elders bespreek. (Sien "Aanvanklike evaluering van Blunt abdominale trauma in volwassenes en Management" en "Aanvanklike evaluering van abdominale steekwonde in volwassenes en Management" en "Aanvanklike evaluering en bestuur van abdominale Skietwonde in volwassenes".) Anatomie.