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ABDOMINAL TRAUMA

 

 

Injury to the Colon and Rectum
Karim Brohi, trauma.org 8:7, July 2003

Colon & Rectum

Introduction
Diagnosis
Management - History
Management - Colon
Management - Rectum
Management - Guidelines
References

 

Computed Tomography

Phillips T, Sclafani SA, Goldstein, et al. Use of contrast-enhanced CT enema in the management of penetrating injuries trauma to the flank and back. J Trauma 1986;26:593-600

Kirton OC, Wint D, Thrasher B, et al. Stab wounds to the back and flank in hemodynamically stable patients: a decision algorithm based on contrast-enhanced computed tomography with colonic opacification. Am J Surg 1997;173:189-93

Maldjian PD, Zurlo JV, Sebastiano L. Role of abdominal computed tomography in the evaluation and management of stab wounds to the back and flank. Emerg Radiol 1997;4:340-5

Ginzburg E, Carrillo EH, Kopelman T, et al. The role of computed tomography in selective management of gunshot wounds to the abdomen and flank. J Trauma 1998;45:1005-9

Malhotra AK, Fabian TC, Katsis SB, Gavant ML, Croce MA. Blunt bowel and mesenteric injuries: the role of screening computed tomography. J Trauma. 2000;48(6):991-8

Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Scalea TM. Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy. AJR Am J Roentgenol. 2001 ;177(6):1247-56.

Primary Repair vs Colostomy of Colon Injury

Burch JM, B. J., Gevirtzman L, et. al. . The injured colon. Ann Surg 1989;203: 701-11

Chappuis CW, F. D., Dietzen CD, Panetta TP, Beuchter KJ, Cohn I Management of penetrating colon injuries: a prospective randomized trial. Ann Surg 1991;213: 492-8

Thompson JS, M. E., Moore JB. Comparison of penetrating injuries of the right and left colon. Ann Surg 1981;193(4): 414-8

Bugis SP, B. N., Letwin ER. Management of blunt and penetrating colon injuries. Am J Surg 1992;163(5): 547-50

Conrad JK, F. K., Foreman ML, Gogel BM, Fisher TL, Livingston SA. Changing management trends in penetrating colon trauma. Dis Colon Rectum 2000;43(4): 466-471

Brasel KJ, B. D., Weigelt JA (1999). Management of penetrating colon trauma: a cost-utility analysis. Surgery 125(5): 471-9

Berne JD, V. G., Chan LS, Asensio JA, Demetriades D. (1998). The high morbidity of colostomy closure after trauma: further support for the primary repair of colon injuries. Surgery 123(2): 157-64

C. Gene Cayten, Timothy C. Fabian, Victor F. Garcia Penetrating Intraperitoneal Colon Injuries - Eastern Association for the Surgery of Trauma (EAST) Trauma Practice Guidelines. 1998 http://www.east.org/tpg/chap4.pdf

Murray JA, Demetriades D, Colson M, et al Colonic resection in trauma: colostomy versus anastomosis. J Trauma. 1999 Feb;46(2):250-4

Demetriades D, Murray JA, Chan L, et al; Committee on Multicenter Clinical Trials. American Association for the Surgery of Trauma. Penetrating colon injuries requiring resection: diversion or primary anastomosis? An AAST prospective multicenter study. J Trauma. 2001 May;50(5):765-75

Rectal Injury

McGrath V, Fabian TC, Croce MA, Minard G, Pritchard FE. Rectal trauma: management based on anatomic distinctions. Am Surg. 1998;64(12):1136-41

Gonzalez RP, Falimirski ME, Holevar MR. The role of presacral drainage in the management of penetrating rectal injuries. J Trauma. 1998;45(4):656-61

Velmahos GC, Gomez H, Falabella A, Demetriades D. Operative management of civilian rectal gunshot wounds: simpler is better. World J Surg. 2000;24(1):114-8

Steinig JP, Boyd CR. Presacral drainage in penetrating extraperitoneal rectal injuries: is it necessary? Am Surg. 1996;62(9):765-7

Levy RD, Strauss P, Aladgem D, Degiannis E, et al Extraperitoneal rectal gunshot injuries. J Trauma. 1995 Feb;38(2):273-7

Introduction