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2013, Número S1

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Cir Gen 2013; 35 (S1)


Alternativas de manejo del trauma duodenal

Magaña SIJ, García NLM

Idioma: Español
Referencias bibliográficas: 22
Paginas: 34-37
Archivo PDF: 59.60 Kb.


FRAGMENTO

Introducción

Las lesiones de duodeno se presentan en alrededor de 3 a 5 % de todas las lesiones traumáticas abdominales. El diagnóstico puede constituir un reto, sobre todo en casos de trauma contuso, ya que la sintomatología puede no ser muy obvia, debido a la localización retroperitoneal del duodeno. La evaluación inicial se enfoca en la temprana identificación de lesiones duodenales severas que a veces se asocian con otras lesiones graves de elevada mortalidad. En pacientes que sobreviven a la fase temprana, la posibilidad de complicaciones tardías es muy alta, a pesar de haberse instalado un tratamiento oportuno. Afortunadamente, la mayor parte de las lesiones duodenales son de grado menor e incluso pueden ser manejadas de manera no-operatoria o con técnicas quirúrgicas simples; sin embargo, las lesiones de grado severo requieren procedimientos resectivos y reconstructivos.


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