Duodenal injuries: surgical management adapted to circumstances.

Objectives: To evaluate the results of an evolving policy of primary repair of duodenal injuries, when considered feasible and safe, complemented by pyloric exclusion if any doubt as to the integrity of the repair existed.

Patients And Methods: A prospective analysis of all patients with surgically identified duodenal injuries treated at a single institution over a 3-year period.

Results: In 30 patients studied, there were four deaths (13%) and an overall complication rate of 47%.