Abstract

During the periord of 7 years from July 1981 to July 1988, the records of 35 patients with duodenal injury who were admitted and treated at Wonju Christian Hospital, Yonsei University Wonju College of Medicine. The reseults were follow: The ratio of male to female was 10:1. The most prevalent age group was in 4th decade. The most frequent clinical manifestation were abdominal pain, tenderness and rebound lender-ness, rigidity. The shorter the time from injury to operation, the lower the rate of complication & mortality after operation. The most common site of injury was the 2nd & 3rd portion (10 case. 28.6 %), followed by 1st portion and 4th portion. The type of duodenal injury were perforation (47.7 %), rupture (31.4 %), transection (22.8%). The 30 cases (85 %) were associated with other injuries. The most frequently associated injured organ was pancreas & Rt. . kidney, (each other 18.7 %). followed by large bowel. liver, biliary and small bowel. Operatire treatment was performed. The method of operative treatment was variable; primary closure & jejunal patch graft, primary closure & tube decompression, segmental resection and anastomosis, pyloric exclusion, duodenal diverticulization, Whipple``s operation, subtotal gastrectomy. Complications developed in 12 cases of the 35 patients (37.5 %) The most frequent complica-tion was wound infection and the other were enterocutaneous fistula, intraperitoneal or retr-operitoneal abscess and intestinal obstuction. The mortality rate was 17.1 %(6 cases of total 35 cases) and the most frequent causes of death was sepiticemia due to enterocutaneous fistula.