지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.1
- 발행연도
- 2018.1
- 수록면
- 44 - 48 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: The role of initial conservative therapy with selective surgery for patients with suspected blunt bowel injury by radiologic evaluation is less clear. The aim of the study is to assess the outcomes of patients who received initial conservative therapy with selective delayed surgery, compared to emergency surgery.
Methods: During this 8-year study, a total of 77 patients who were hemodynamically stable were enrolled, in which computed tomography verified suspected bowel injury from blunt trauma (mesenteric hematoma, mesenteric fat infiltration, bowel wall thickening, and free fluid without solid organ injury) was managed with either initial conservative therapy with selective delayed surgery (group A; n = 42) or emergency surgery (group B; n = 35). The clinical outcomes including the rate of negative or nontherapeutic exploration and postoperative complications, between the groups were compared.
Results: The enrolled patients had a mean age of 41 years including 51 men and 26 women. No difference in the clinical characteristics was found between the groups. In group A, 18 patients underwent delayed surgery and 24 recovered without surgery. Among patients who underwent surgery, 3 (17%) underwent negative or nontherapeutic explorations. In group B, 13 (37%) underwent negative or nontherapeutic explorations. Postoperative complications occurred in 21 patients and there was no difference between the groups.
Conclusion: Initial conservative therapy with selective delayed surgery did not increased severe postoperative complications and had a low rate of negative or nontherapeutic surgical explorations in hemodynamically stable patients with suspected blunt bowel injury.
Methods: During this 8-year study, a total of 77 patients who were hemodynamically stable were enrolled, in which computed tomography verified suspected bowel injury from blunt trauma (mesenteric hematoma, mesenteric fat infiltration, bowel wall thickening, and free fluid without solid organ injury) was managed with either initial conservative therapy with selective delayed surgery (group A; n = 42) or emergency surgery (group B; n = 35). The clinical outcomes including the rate of negative or nontherapeutic exploration and postoperative complications, between the groups were compared.
Results: The enrolled patients had a mean age of 41 years including 51 men and 26 women. No difference in the clinical characteristics was found between the groups. In group A, 18 patients underwent delayed surgery and 24 recovered without surgery. Among patients who underwent surgery, 3 (17%) underwent negative or nontherapeutic explorations. In group B, 13 (37%) underwent negative or nontherapeutic explorations. Postoperative complications occurred in 21 patients and there was no difference between the groups.
Conclusion: Initial conservative therapy with selective delayed surgery did not increased severe postoperative complications and had a low rate of negative or nontherapeutic surgical explorations in hemodynamically stable patients with suspected blunt bowel injury.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
[학술지(정기간행물)] - Pal JD / 2002 / Defining the role of computed tomography in blunt abdominal trauma: use in the hemodynamically stable patient with a depressed level of consciousness / Arch Surg 137 : 1029 ~ 1032
[학술지(정기간행물)] - Petrosoniak A / 2013 / Detection of significant bowel and mesenteric injuries in blunt abdominal trauma with 64-slice computed tomography / J Trauma Acute Care Surg 74 : 1081 ~ 1086
[학술지(정기간행물)] - Joseph DK / 2013 / Diagnosing blunt hollow viscus injury: is computed tomography the answer? / Am J Surg 205 : 414 ~ 418
[학술지(정기간행물)] - Brownstein MR / 2000 / Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma / J Trauma 48 : 402 ~ 407
[학술지(정기간행물)] - Sherck J / 1994 / The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation / Am J Surg 168 : 670 ~ 675
[학술지(정기간행물)] - Petrosoniak A / 2013 / Detection of significant bowel and mesenteric injuries in blunt abdominal trauma with 64-slice computed tomography / J Trauma Acute Care Surg 74 : 1081 ~ 1086
[학술지(정기간행물)] - Joseph DK / 2013 / Diagnosing blunt hollow viscus injury: is computed tomography the answer? / Am J Surg 205 : 414 ~ 418
[학술지(정기간행물)] - Brownstein MR / 2000 / Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma / J Trauma 48 : 402 ~ 407
[학술지(정기간행물)] - Sherck J / 1994 / The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation / Am J Surg 168 : 670 ~ 675
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UCI(KEPA) : I410-ECN-0101-2018-514-001683832