@article{ajmcr2014271,
author={MD., Mustafakulov I. B.},
title={Stomach Injury in Multiple and Polytrauma},
journal={American Journal of Medical Case Reports},
volume={2},
number={7},
pages={133--135},
year={2014},
url={http://pubs.sciepub.com/ajmcr/2/7/1},
abstract={Stomach injury is one of the most severe types of injuries and among severe injuries of piece abdominal injuries makes 25%. Post traumatic stomach ruptures make 1% of abdominal injuries in isolated abdominal traumas and up to 6% in combined. During 1999-2012 periods we have analyzed 57 observations, of them 12 isolated and 45 combined gastric injuries. Injuries of anterior gastric wall were revealed in 42 patients, of posterior wall in 4 persons with thoracoabdominal wounds and of both walls in 11 patients. Study proved some different surgical treatment tactics of stomach injury have been presented<b>. </b>Complications in the postoperative period developed in 9 (15, 8%) patients with ruptures in all layers of the stomach. Relaparatomy became necessary in 5 patients due to the following indications: ileus (2), pancreatitis (1), bleeding to gastric lumen (1) insolvency of stomach wound sutures. 3 of 5 reoperative patients died, all of them had combined traumas; 2 mortality of shock and blood loss, 1 from pancreatitis and peritonitis. An adequate intervention volume in gastric injuries appears to be two-layer suturing of the wound with previous ligating of bleeding vessels and following decompression of the organ through nasogastral probe.},
doi={10.12691/ajmcr-2-7-1}
publisher={Science and Education Publishing}
}