Rachel L Choron, Amanda L Teichman, Christopher G Bargoud, Jason D Sciarretta, Randi N Smith, Dustin S Hanos, Iman N Afif, Jessica H Beard, Navpreet K Dhillon, Ashling Zhang, Mira Ghneim, Rebekah J Devasahayam, Oliver L Gunter, Alison A Smith, Brandi L Sun, Chloe S Cao, Jessica K Reynolds, Lauren A Hilt, Daniel N Holena, Grace Chang, Meghan Jonikas, Karla Echeverria, Nathaniel S Fung, Aaron Anderson, Caitlin A Fitzgerald, Ryan P Dumas, Jeremy H Levin, Christine T Trankiem, JaeHee Jane Yoon, Jacqueline Blank, Joshua Hazelton, Christopher J McLaughlin, Rami Al-Aref, Jordan M Kirsch, Daniel S Howard, Dane R Scantling, Kate Dellonte, Michael Vella, Brent Hopkins, Chloe H Shell, Pascal O Udekwu, Evan G Wong, Bellal A Joseph, Howard Lieberman, Walter Ramsey, Collin Stewart, Claudia Alvarez, John D Berne, Jeffry Nahmias, Ivan Puente, Joe H Patton, Ilya Rakitin, Lindsey L Perea, Odessa R Pulido, Hashim Ahmed, Jane Keating, Lisa M Kodadek, Jason Wade, Reynold Henry, Martin A Schreiber, Andrew J Benjamin, Abid Khan, Laura K Mann, Caleb J Mentzer, Vasileios Mousafeiris, Francesk Mulita, Shari Reid-Gruner, Erica Sais, Joshua Marks, Christopher Foote, Carlos H Palacio, Dias Argandykov, Haytham Kaafarani, Susette Coyle, Marie Macor, Michelle T Bover Manderski, Mayur Narayan, Mark J Seamon
BACKGROUND: Duodenal leak is a feared complication of repair, and innovative complex repairs with adjunctive measures (CRAM) were developed to decrease both leak occurrence and severity when leaks occur. Data on the association of CRAM and duodenal leak are sparse, and its impact on duodenal leak outcomes is nonexistent. We hypothesized that primary repair alone (PRA) would be associated with decreased duodenal leak rates; however, CRAM would be associated with improved recovery and outcomes when leaks do occur...
July 1, 2023: Journal of Trauma and Acute Care Surgery