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Lipoprotein-X and the double 131I-rose bengal test in the diagnosis of prolonged infantile jaundice

1972; Elsevier BV; Volume: 7; Issue: 6 Linguagem: Inglês

10.1016/0022-3468(72)90276-x

1531-5037

J. Rainer Poley, E. Ide Smith, Donald J. Boon, Monica Bhatia, Carl W. Smith, John Thompson,

Cardiac Arrest and Resuscitation

Fifty-four children suffering from 61 injuries to the pancreas and/or duodenum are reported. Possible abdominal penetration always warranted emergency laparotomy, whereas blunt trauma usually required a period of observation and the performance of several diagnostic studies. Most pancreatic wounds were managed by sump drainage. Extensive tissue destruction, duct disruption, or gland division were indications for distal pancreatectomy. The pancreatic head was never resected, although a T-tube was often inserted into the common bile duct as a precautionary measure. After closure of duodenal perforations, local bowel decompression appeared necessary for those portions of the duodenum lacking a serosa and thereby prone to leak. This was routinely accomplished by gastrostomy and double jejunostomies, the distal jejunostomy permitting an early reinstitution of intestinal feeds. The overall mortality was 9%, with two of the five deaths due to associated organ injuries.