Open AccessRole of Pyloric Exclusion in Duodenal Trauma - Historical Perspective
Author(s) -
Munir Ahmad Rathore,
Zafarullah Chaudhry,
Abdul Majeed Chaudhry
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v9i4.1355
Subject(s) - medicine , incidence (geometry) , perspective (graphical) , duodenum , general surgery , surgery , medline , intensive care medicine , physics , artificial intelligence , computer science , law , political science , optics
Background: Majority of duodenal injuries requires simple repair. Pyloric exclusion is recommended for injuries involving 50-70% of circumference. This adjunct procedure has specific complications. The benefit is uncertain. This review article assesses the benefit of the procedure Methods: Published literature over the last two decades was reviewed. It was sourced from indexed journals and Medline. Conclusion: The role remains equivocal. Perhaps some advantage in delayed or failed duodenal repair. The incidence of complications may be substantial.