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Gastric Injuries

  • Ana Luisa Bettega
  • Fernanda Cristina Silva
  • Gustavo Rodrigues Alves Castro
  • Emanuel Antonio Grasselli
  • Beatriz Ortis Yazbek
  • Anthony Ferrantella
  • Antonio Marttos
Chapter

Abstract

Gastric injuries are common in penetrating trauma to the abdomen and lower chest, but in blunt trauma, they are rare and account for a small minority of hollow viscus injuries. Although gastric injuries caused by penetrating trauma are not life threatening during the so-called golden hour, associated thoracic and vascular injuries can compromise the hemodynamic status of the patient. Therefore, initial management of the patient should follow the priority principles established by ATLS. Like injuries to other hollow viscera, gastric injuries caused by blunt abdominal trauma can manifest late, making the diagnosis more difficult and the prognosis worse. The mechanism of injury, physical exam, and diagnostic imaging can suggest gastric injuries; however, the gold standard remains exploratory laparotomy.

Keywords

Gastric injuries Abdominal trauma 

Bibliography

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ana Luisa Bettega
    • 1
  • Fernanda Cristina Silva
    • 2
  • Gustavo Rodrigues Alves Castro
    • 2
  • Emanuel Antonio Grasselli
    • 1
  • Beatriz Ortis Yazbek
    • 3
  • Anthony Ferrantella
    • 4
  • Antonio Marttos
    • 5
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Faculdade de Ciências Médicas de SantosSantosBrazil
  4. 4.Department of Surgery, University of MiamiMiamiUSA
  5. 5.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA

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