| Autor: |
Fischerauer, EE, Zötsch, S, Capito, C, Bonnard, A, Sárközy, S, Berndt, J, Hosie, S, Beltra Pico, R, Steinau, G, Wiejek, A, Czauderna, P, Çelik, A, Lain Fernandez, A, Ibanez, VM, Esposito, C, Saxena, AK |
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| Zdroj: |
Acta Paediatrica; Oct2013, Vol. 102 Issue 10, p977-981, 5p |
| Abstrakt: |
Aim Paediatric gastrointestinal injuries ( GIIs) are rare, and the aim of this multicentre study was to evaluate their outcomes in a large cohort. Methods Hospital databases of 10 European paediatric surgical centres were reviewed for paediatric traumatic GIIs managed between 2000-2010. Results Ninety-seven patients with a median age of 9 years (0-17 years) were identified, with 72 blunt and 25 penetrating GIIs. Initial diagnostics in 90 patients led to correct diagnosis in 71%. Diagnostics were delayed in 26 patients (median 24 h). Eighty-two patients required surgery (67 laparotomy, 12 laparoscopy and three other approaches). There was a 50% conversion in the laparoscopic group. Median hospital stay was 10 days (range 1-137 days), with longer duration influenced by associated injuries (n = 41). Diagnosis <24 h was associated with significantly shorter hospital stay compared to more than 24 h (p = 0.011). In one-third of patients, morbidities were not related to a diagnostic delay or type of injury. There were five lethal outcomes, four due to associated injuries. Conclusion Initial diagnostics in traumatic paediatric GIIs provide false negatives in one-third of patients. Diagnostic delay <24 h is associated with a significantly shorter hospital stay. Although laparoscopy is associated with a conversion rate of 50%, it can be used for diagnosis in suspected cases to avoid nontherapeutic laparotomy. [ABSTRACT FROM AUTHOR] |
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