TY - JOUR
PY - 2013//
TI - Paediatric and adolescent traumatic gastrointestinal injuries: Results of a European multicentre analysis
JO - Acta paediatrica
A1 - Fischerauer, E. E.
A1 - Zötsch, S.
A1 - Capito, C.
A1 - Bonnard, A.
A1 - Sárközy, S.
A1 - Berndt, J.
A1 - Hosie, S.
A1 - Pico, R. Beltra
A1 - Steinau, G.
A1 - Wiejek, A.
A1 - Czauderna, P.
A1 - Celik, A.
A1 - Fernandez, A. Lain
A1 - Ibanez, Vm
A1 - Esposito, C.
A1 - Saxena, Ak
SP - 977
EP - 981
VL - 102
IS - 10
N2 - AIM: Paediatric gastrointestinal injuries (GIIs) are rare and the aim of this multicentre study was to evaluate their outcomes in a large cohort. METHODS: Hospital databases of 10 European paediatric surgical centres were reviewed for paediatric traumatic GIIs managed between 2000-2010. RESULTS: Ninety-seven patients with a median age of nine years (0-17 years) were identified, with 72 blunt and 25 penetrating GIIs. Initial diagnostics in 90 patients led to correct diagnosis in 71%. Diagnostics were delayed in 26 patients (median 24h). Eighty-two patients required surgery (67 laparotomy, 12 laparoscopy and three other approaches). There was a 50% conversion in the laparoscopic group. Median hospital stay was 10 days (range 1-137d), with longer duration influenced by associated injuries (n=41). Diagnosis ≤24h was associated with significantly shorter hospital stay compared to >24 hours (p 0.011). In one-third of patients, morbidities were not related to a diagnostic delay or type of injury. There were five lethal outcomes, four due to associated injuries. CONCLUSION: Initial diagnostics in traumatic paediatric GIIs provide false negatives in one-third of patients. Diagnostic delay ≤ 24h is associated with a significantly shorter hospital stay. Although laparoscopy is associated with a conversion rate of 50%, it can be used for diagnosis in suspected cases to avoid non-therapeutic laparotomy. This article is protected by copyright. All rights reserved. Language: en
LA - en
SN - 0803-5253
UR - http://dx.doi.org/10.1111/apa.12337
ID - ref1
ER -