{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:27:20Z","timestamp":1787772440094,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Duodenal injury following blunt abdominal trauma is extremely rare in children and many times, it has delayed presentation, leading to increased morbidity and mortality. A patient with complete duodenal transaction is a surgical challenge and management involves the time of presentation and extent of visceral damage. A 10-year-old boy was brought with features of bowel perforation after road traffic accident and underwent emergency laparotomy which revealed complete transaction of duodenum at D1 and D2 and pyloroduodenal junction extending toward lesser curvature. Primary closure of pyloroduodenal junction and D1\u2013D2 was done with omental patch along with triple tube decompression (cholecystostomy, gastrostomy, and jejunostomy). The patient had an uneventful recovery. Primary closure of disturbed ends with triple diversion is a safe approach in young children with complete duodenal transaction in absence of gross peritoneal contamination and early presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_284_20","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:16:51Z","timestamp":1716545811000},"page":"245-247","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Triple Diversion Technique in Complete Duodenal Transaction Following Blunt Trauma Abdomen"],"prefix":"10.4103","volume":"27","author":[{"given":"Shishir","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shasanka Shekhar","family":"Panda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujoy","family":"Neogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simmi K","family":"Ratan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20240905","doi-asserted-by":"crossref","first-page":"514","DOI":"10.4103\/0974-2700.86650","article-title":"Duodenal perforation following blunt abdominal trauma","volume":"4","author":"Bhattacharjee","year":"2011","journal-title":"J Emerg Trauma Shock"},{"key":"R2-22-20240905","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1308\/147870809X400930","article-title":"Isolated duodenal rupture due to go-karting accidents--Braking news","volume":"91","author":"Thomas","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"R3-22-20240905","first-page":"128","article-title":"Delayed duodenal hematoma and pancreatitis from a seatbelt injury","volume":"12","author":"Deambrosis","year":"2011","journal-title":"West J Emerg Med"},{"key":"R4-22-20240905","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1177\/000313480407000311","article-title":"Prognostic determinants in duodenal injuries","volume":"70","author":"Blocksom","year":"2004","journal-title":"Am Surg"},{"key":"R5-22-20240905","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1186\/1752-1947-4-343","article-title":"Reconstruction of a traumatic duodenal transection with a pedicled ileal loop: A case report","volume":"4","author":"Kambaroudis","year":"2010","journal-title":"J Med Case Rep"},{"key":"R6-22-20240905","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1097\/TA.0000000000001604","article-title":"Penetrating injuries to the duodenum: An analysis of 879 patients from the National Trauma Data Bank, 2010 to 2014","volume":"83","author":"Phillips","year":"2017","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_284_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:46:57Z","timestamp":1787770017000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_284_20"}},"subtitle":["A Time-Tested Method in a Very Rare Injury"],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_284_20","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}