Pyloric exclusion in the treatment of severe duodenal injuries: …
Pyloric exclusion (PEX) has traditionally been used in the management of complicated duodenal injuries to temporarily protect the duodenal repair and prevent septic abdominal complications.
Severe Duodenal Injuries: Treatment With Pyloric Exclusion and ...
Pyloric exclusion with gastrojejunostomy is a quick and simple procedure that allows return of pyloric patency and is associated with a low incidence of duodenal fistulas. When fistulas do …
Duodenal Trauma - StatPearls - NCBI Bookshelf
2023年7月31日 · After primary repair, if the duodenal injury is severe (grade III-IV) or there is concomitant pancreatic injury, a pyloric exclusion should be considered to protect the repair. …
Management of the complex duodenal injury - The American Journal of Surgery
2022年11月20日 · Pyloric exclusion is sometimes added as an adjunctive procedure. Often persistent leakage of digestive enzymes can cause retroperitoneal soft tissue necrosis. …
Pyloric exclusion - ScienceDirect
2000年12月1日 · It is important to remember that pyloric exclusion alone is not sufficient to adequately manage the injury; meticulous debridement of the injured duode- num and …
2022年11月20日 · Pyloric exclusion ABSTRACT Introduction: Complex duodenal trauma is a rare injury with an incidence of 1–4.7% of all abdominal trauma. Historically, varied approaches …
Effectiveness of pyloric exclusion (PEX) in treating duodenal trauma
2019年3月8日 · Summary: Using the American College of Surgeons National Trauma Data Bank (v 5.0), DuBose et al (2008) evaluated adult patients with severe duodenal injuries [AAST …
The use of pyloric exclusion in the management of severe …
For the past seven years we have utilized temporary pyloric exclusion and gastrojejunostomy to produce “diverticulization” of the duodenum. This procedure was utilized in seventy-five …
The use of pyloric exclusion for treating duodenal trauma
Pyloric exclusion was associated with multiple complications and a high mortality rate. This surgical technique is indicated for rare cases of complex injury to the duodenum and the …
Is there a role for pyloric exclusion after severe duodenal
Even though most cases can be treated with primary repair, some experts advocate adjuvant procedures. Pyloric exclusion (PE) has emerged as an ancillary method to protect suture …