Colon injuries in children

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dc.contributor.authorDokucu, AI
dc.contributor.authorÖztürk, H
dc.contributor.authorYagmur, Y
dc.contributor.authorOtçu, S
dc.contributor.authorÖnen, A
dc.contributor.authorAzal, ÖF
dc.contributor.authorGürkan, F
dc.date.accessioned2024-04-24T16:24:08Z
dc.date.available2024-04-24T16:24:08Z
dc.date.issued2000
dc.departmentDicle Üniversitesien_US
dc.description55th Congress of the French-Society-of-Pediatric-Surgery -- SEP 23, 1998 -- PARIS, FRANCEen_US
dc.description.abstractBackground/Purpose: Colonic injuries are rare in childhood, but when they do occur, they are mostly associated with penetrating abdominal injuries. The primary repair of colon injuries without stoma is still controversial within surgical experience, and the potential risk factors affecting morbidity and mortality is not sufficiently known. Methods: Between 1985 and 1997, 34 children presenting with traumatic colonic perforations were reevaluated by analyzing the relationship between the overall morbidity and mortality and the potential risk factors. Results: Of the 34 children in the case study, 27 boys and 7 girls, there were 7 (21%) isolated colonic injuries. The remaining 27 (79%) patients showed colonic injuries most frequently associated with the small bowel, the liver, and the bladder. Localization of injury was distributed thus: 21% in the right colon, 29% in the transverse colon, and 50% in the left colon, Primary repair, with or without intestinal resection, was performed in 27 (79%) of the patients. In total, postoperative complications occurred in 10 (29%) of the patients. Risk factors such as age, abdominal contamination, and associated abdominal organ injuries were found significant in these complications, however, the mechanism of injury, shock, blood transfusion, and localization of injury were not correlated significantly to postoperative complications. Flint's Colon Grading System was used to ascertain the sensitivity of trauma scoring systems for postoperative complications. Conclusion: Colonic wounds can be repaired primarily without the need of colostomy in the majority of cases in children when the required selections are established. J Pediatr Surg 35:1799-1804. Copyright (C) 2000 by W.B. Saunders Company.en_US
dc.description.sponsorshipFrench Soc Pediat Surgen_US
dc.identifier.doi10.1053/jpsu.2000.19262
dc.identifier.endpage1804en_US
dc.identifier.issn0022-3468
dc.identifier.issue12en_US
dc.identifier.pmid11101740
dc.identifier.scopus2-s2.0-0033663015
dc.identifier.scopusqualityQ1
dc.identifier.startpage1799en_US
dc.identifier.urihttps://doi.org/10.1053/jpsu.2000.19262
dc.identifier.urihttps://hdl.handle.net/11468/16518
dc.identifier.volume35en_US
dc.identifier.wosWOS:000165598700025
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Coen_US
dc.relation.ispartofJournal of Pediatric Surgery
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColonic Traumaen_US
dc.subjectColostomyen_US
dc.subjectPostoperative Complicationen_US
dc.subjectTrauma Scoreen_US
dc.titleColon injuries in childrenen_US
dc.titleColon injuries in children
dc.typeConference Objecten_US

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