{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:10:28Z","timestamp":1789737028706,"version":"4.0.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T00:00:00Z","timestamp":1692748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T00:00:00Z","timestamp":1692748800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001343","name":"University of Pretoria","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001343","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Factors predicting morbidity and mortality in patients with colon-related gunshot injuries and the management of these injuries are not always straightforward. This aimed to assess the impact of abdominal gunshot wounds with colonic injuries on patients\u2019 overall outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This cross-sectional prospective observational study compared patients with colon injuries and without colon injuries. Data was collected from admission, theatre and postoperative care. Patients were recruited between 1 January 2020 and 20 October 2021.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of 132 patients with abdominal gunshot injuries, 71 (54.0%) had colon injuries. The colon injury group had a higher incidence of laparotomy wound sepsis (<jats:italic>p<\/jats:italic>&lt;0.0001), bullet exit wound infection (<jats:italic>p<\/jats:italic>&lt;0.0001), tract necrotizing fasciitis (<jats:italic>p<\/jats:italic>&lt;0.0001), relook laparotomies (<jats:italic>p<\/jats:italic>&lt;0.0001) and a longer hospital stay (<jats:italic>p<\/jats:italic>&lt;0.0001). Septicaemia (<jats:italic>p<\/jats:italic>=0.002) or anastomotic leak (<jats:italic>p<\/jats:italic>=0.041) was associated with a penetrating abdominal trauma index (PATI) \u226525. Most patients who developed tract necrotizing fasciitis did not have their tract debrided\/ lavaged (<jats:italic>p<\/jats:italic>=0.004). The type of colon repair did not influence the length of hospital stay (<jats:italic>p<\/jats:italic>=0.688) or the development of a colon-related complication (<jats:italic>p<\/jats:italic>=0.578). Between 18 and 25 years (<jats:italic>p<\/jats:italic>&lt;0.0001) and &gt;2 organs injured (<jats:italic>p<\/jats:italic>=0.018) were associated with colon-related complications. Patients between 18 and 25 years were 4.748 times more likely to develop a colon-related complication (<jats:italic>p<\/jats:italic>=0.046).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Gunshot wounds to the abdomen with associated colonic injuries had a worse outcome with an increased risk of developing wound infections. There is no difference in the operative management of colonic injury. Patients between the ages of 18\u00a0and\u00a025 years or &gt;2 organs injured are more likely to develop a complication.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-023-03067-0","type":"journal-article","created":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T16:02:28Z","timestamp":1692806548000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The impact of colon injuries on the outcome of gunshot wounds to the abdomen"],"prefix":"10.1007","volume":"408","author":[{"given":"Yonita","family":"Singh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sooraj","family":"Motilall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bongani L.","family":"Khulu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8994-8575","authenticated-orcid":false,"given":"Brandon S.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,23]]},"reference":[{"issue":"4","key":"3067_CR1","first-page":"6154","volume":"8","author":"N Iflazoglu","year":"2015","unstructured":"Iflazoglu N, Ureyen O, Oner OZ, Tusat M, Akcal MA (2015) Complications and risk factors for mortality in penetrating abdominal firearm injuries: analysis of 120 cases. 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