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What Is the Optimal Management of Traumatic Duodenal Injury?

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Difficult Decisions in Trauma Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

The infrequency with which traumatic duodenal injuries present precludes any one surgeon from obtaining extensive experience in their management. Low-grade duodenal injuries from blunt mechanisms are mostly managed non-operatively. While historically penetrating duodenal trauma has been managed with complex reconstructions, the appeal of the popular pyloric exclusion has demonstrated questionable clinical benefit, and recent data favor primary repair over a more extensive operation. The optimal management of duodenal injuries is often individualized and not universally agreed upon. This chapter will attempt to synthesize the available data and expert opinion to guide the management of this duodenal injury patterns.

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Authors and Affiliations

  1. Division of Trauma and Acute Care Surgery, Department of Surgery, The University of Chicago Medicine and Biologic Sciences, Chicago, IL, USA

    Jonathan Kent

  2. Stanford School of Medicine, Chicago, IL, USA

    Peter Bendix

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  1. Jonathan Kent
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  2. Peter Bendix
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Correspondence to Peter Bendix .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Kenneth Wilson

  2. Department of Surgery, University of Chicago, Chicago, IL, USA

    Selwyn O. Rogers

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Kent, J., Bendix, P. (2022). What Is the Optimal Management of Traumatic Duodenal Injury?. In: Wilson, K., Rogers, S.O. (eds) Difficult Decisions in Trauma Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-81667-4_21

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  • DOI: https://doi.org/10.1007/978-3-030-81667-4_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81666-7

  • Online ISBN: 978-3-030-81667-4

  • eBook Packages: MedicineMedicine (R0)

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