Investigation of Factors Affecting Mortality Rate of Penetrating Small Bowel Injuries: A Prospective Cohort Study

  • Hussein Saleh Ali Baghdad Teaching Hospital, Baghdad, Iraq
  • Ali Ridha Hassoon Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq
  • Hadeel Mohamad Said Alhilaly Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq
Keywords: Duodenum, Ileum, Jejunum, Penetrating abdominal injury, Small bowel


Introduction: Penetrating abdominal trauma is the generally caused by gunshot or stabbing, in which most commonly affected
regions include small bowel, liver, large bowel, and intra-abdominal vasculature. In the past decades, management of the patients
with PAI needs optimization regarding accurate decision making for prompt treatment.
Objectives: The study described the organ injury patterns, the source of organ injury, treatment options, and factors associated with
mortality in PAI patients in active war zone. Further, this paper attempted to provide better insights regarding possible differences
and decision making system in improving the patient’s care and outcome. In addition, this paper focussed on duodenal, jejunal,
and ileal injuries.
Materials and Methods: This prospective cohort study comprised 322 patients with penetrating abdomen injuries in Al Kadhimiya
teaching hospital during May 2006 to October 2008. The study mainly considered injuries due to gunshots, shells, and stabs.
Results: The paper found that majority of patients aged from 20 to 29 years sustained small bowel injuries such as duodenal
injuries, jejunal injuries, and ileal injuries. jejunum is found to be affected largely followed by ileum but the mortality rate for
duodenum tops among the small bowel injuries.
Conclusion: This study concludes that when compared to patients with jejunoileal injuries duodenal injuries had significantly
higher mortality, morbidity and hospitalization period.

Author Biographies

Hussein Saleh Ali, Baghdad Teaching Hospital, Baghdad, Iraq

Doctor, Department of Surgery, Medical City Complex 

Ali Ridha Hassoon, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq

Doctor, Department of Surgery

Hadeel Mohamad Said Alhilaly, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq

Doctor, Department of Surgery


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