The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury
Purpose The aim of this study was to elucidate the prognosis, and other clinical features, such as time to surgery and the amount of transfusion, of small bowel injury (SBI) accompanied by liver injury (LI). Methods We investigated 221 patients with SBI who visited an emergency center from October 2...
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Korean Society of Traumatology
2021-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0052.pdf |
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| author | Yu Seong Noh Sung Won Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Heung Man Jun Yong Chan Shin Sung Min Jung Eun Hae Um |
| author_facet | Yu Seong Noh Sung Won Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Heung Man Jun Yong Chan Shin Sung Min Jung Eun Hae Um |
| author_sort | Yu Seong Noh |
| collection | DOAJ |
| description | Purpose The aim of this study was to elucidate the prognosis, and other clinical features, such as time to surgery and the amount of transfusion, of small bowel injury (SBI) accompanied by liver injury (LI). Methods We investigated 221 patients with SBI who visited an emergency center from October 2000 to March 2019. We excluded patients with injuries that directly led to mortality, and the remaining 149 patients were divided into the SBI alone (SBI-A) group and the SBI accompanied by LI (SBI-LI) group. Data were collected for preoperative and surgical outcome variables, and the treatment results were compared between groups. Results The SBI-LI group had a higher mortality rate than the SBI-A group (22.4% vs. 14.3%), but this difference was not statistically significant (p=0.061). There were no significant differences between the SBI-A and SBI-LI groups, except for the amount of red blood cell (RBC) transfusion (SBI-A: 3.53±0.1 vs. SBI-LI: 8.38±0.7 packs, p=0.035) and the length of intensive care unit (ICU) stay (SBI-A: 6.7±0.2 vs. SBI-LI: 11.1±0.5 days, p=0.047). Conclusions The SBI-LI group required more RBC transfusions and longer ICU stays than the SBI-A group. SBI accompanied by LI may show higher mortality than SBI alone; however, since the difference was not statistically significant in the present study, larger-scale follow-up research is needed. |
| format | Article |
| id | doaj-art-d6e4b4cf302e4fc38a1612bd116c199f |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-d6e4b4cf302e4fc38a1612bd116c199f2025-01-08T08:08:40ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-03-01341444910.20408/jti.2020.00521046The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver InjuryYu Seong Noh0Sung Won Jung1Tae Gil Heo2Pyong Wha Choi3Jae Il Kim4Heung Man Jun5Yong Chan Shin6Sung Min Jung7Eun Hae Um8 Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaPurpose The aim of this study was to elucidate the prognosis, and other clinical features, such as time to surgery and the amount of transfusion, of small bowel injury (SBI) accompanied by liver injury (LI). Methods We investigated 221 patients with SBI who visited an emergency center from October 2000 to March 2019. We excluded patients with injuries that directly led to mortality, and the remaining 149 patients were divided into the SBI alone (SBI-A) group and the SBI accompanied by LI (SBI-LI) group. Data were collected for preoperative and surgical outcome variables, and the treatment results were compared between groups. Results The SBI-LI group had a higher mortality rate than the SBI-A group (22.4% vs. 14.3%), but this difference was not statistically significant (p=0.061). There were no significant differences between the SBI-A and SBI-LI groups, except for the amount of red blood cell (RBC) transfusion (SBI-A: 3.53±0.1 vs. SBI-LI: 8.38±0.7 packs, p=0.035) and the length of intensive care unit (ICU) stay (SBI-A: 6.7±0.2 vs. SBI-LI: 11.1±0.5 days, p=0.047). Conclusions The SBI-LI group required more RBC transfusions and longer ICU stays than the SBI-A group. SBI accompanied by LI may show higher mortality than SBI alone; however, since the difference was not statistically significant in the present study, larger-scale follow-up research is needed.http://www.jtraumainj.org/upload/pdf/jti-2020-0052.pdfabdominal injuriesintestinesliverlacerationsprognosis |
| spellingShingle | Yu Seong Noh Sung Won Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Heung Man Jun Yong Chan Shin Sung Min Jung Eun Hae Um The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury Journal of Trauma and Injury abdominal injuries intestines liver lacerations prognosis |
| title | The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury |
| title_full | The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury |
| title_fullStr | The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury |
| title_full_unstemmed | The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury |
| title_short | The Prognosis of Traumatic Small Bowel Injury Accompanied by Liver Injury |
| title_sort | prognosis of traumatic small bowel injury accompanied by liver injury |
| topic | abdominal injuries intestines liver lacerations prognosis |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0052.pdf |
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