{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:26:22Z","timestamp":1774355182243,"version":"3.50.1"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:p>PURPOSE: The objective of this study was to compare patients with \"isolated\" blunt small bowel injury (SBI) to patients with multiple intra-abdominal injuries and analyze whether delayed laparotomy affected outcome. METHODS: Medical records of patients that suffered a blunt SBI between 1994 and 2005 were reviewed. The patients were divided into two groups: those with isolated SBI and those with other associated intra-abdominal injuries (\"non-isolated\"). The method of diagnosis, time to operation, small bowel Organ Injury Scale (OIS) assessment (grade &gt; 2), injury severity score (ISS), morbidity, and mortality were analyzed. RESULTS: A total of 90 patients met the inclusion criteria, including 62 (68.9%) isolated cases and 28 (31.1%) non-isolated cases. Isolated cases required more supplementary diagnostic methods than the non-isolated cases. Non-isolated cases had a shorter diagnosis to treatment period (p &lt; .01) and a higher ISS (mean 22.5 vs. 17.2 in \"isolated\" group). Morbidity (51.6% and 53.6%) and mortality (16.1% and 28.6%) did not differ significantly between the isolated and non-isolated groups. Delays in diagnosis were common in the isolated group, but this did not affect outcome. Patients with associated injuries, and higher ISS, had higher mortality. CONCLUSIONS: The presence of associated intra-abdominal injuries significantly affected the presentation and time to diagnosis of patients with SBI, but not morbidity or mortality. Delayed surgical treatment in the isolated cases was not associated with an increased incidence of complications. Patients inflicted with more severe associated injuries were less likely to survive the trauma.<\/jats:p>","DOI":"10.1590\/s0102-86502008000200013","type":"journal-article","created":{"date-parts":[[2008,3,20]],"date-time":"2008-03-20T01:05:54Z","timestamp":1205975154000},"page":"192-197","source":"Crossref","is-referenced-by-count":17,"title":["Blunt abdominal trauma with small bowel injury: are isolated lesions riskier than associated lesions?"],"prefix":"10.1590","volume":"23","author":[{"given":"Gustavo Pereira","family":"Fraga","sequence":"first","affiliation":[{"name":"University of California; University of Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Henrique Bergo de Souza e","family":"Silva","sequence":"additional","affiliation":[{"name":"UNICAMP; FAPESP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolle Antunes de","family":"Almeida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Carlos Machado","family":"Curi","sequence":"additional","affiliation":[{"name":"UNICAMP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Mantovani","sequence":"additional","affiliation":[{"name":"UNICAMP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/01.TA.0000046256.80836.AA","article-title":"Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: Analysis from 275,557 trauma admissions from the EAST Multi-Institutional HVI Trial","volume":"54","author":"Fakhry SM","year":"2003","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"issue":"4","key":"ref2","first-page":"308","article-title":"Blunt abdominal trauma with jejunal injury: A review","volume":"20","author":"Robbs JV","year":"1980","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"issue":"2","key":"ref3","first-page":"56","article-title":"Exclusive jejunal and ileal lesions due to blunt trauma","volume":"110","author":"Mantovani M","year":"1992","journal-title":"Rev Paul Med."},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1097\/00005373-199512000-00011","article-title":"Small bowel injuries: mechanisms, patterns, and outcome","volume":"39","author":"Guarino J","year":"1995","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"key":"ref5","first-page":"750","article-title":"Dilemmas in the diagnosis of blunt enteric Trauma","volume":"64","author":"Kemmeter PR","year":"1998","journal-title":"Am Surg."},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00005373-199901000-00019","article-title":"Seventy cases of injuries of the small intestine caused by blunt abdominal trauma: A retrospective study from 1970 to 1994","volume":"46","author":"Neugebauer H","year":"1999","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1097\/00005373-200003000-00007","article-title":"Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience","volume":"48","author":"Fakhry SM","year":"2000","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00005373-200003000-00006","article-title":"Diagnosis and management of blunt small bowel injury: A survey of the membership of the American Association for the Surgery of Trauma","volume":"48","author":"Brownstein MR","year":"2000","journal-title":"J Trauma","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1177\/000313480106700817","article-title":"Nonoperative management of solid abdominal organ injuries from blunt trauma: impact of neurologic impairment","volume":"67","author":"Shapiro MB","year":"2001","journal-title":"Am Surg."},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1016\/j.injury.2005.04.008","article-title":"Perforating small bowel injuries in children: influence of time to operative operation on outcome","volume":"36","author":"Thompson SR","year":"2005","journal-title":"Injury","ISSN":"https:\/\/id.crossref.org\/issn\/0020-1383","issn-type":"print"},{"key":"ref11","series-title":"Advanced Trauma Life Support: ATLS\u00d2. 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