Management of Gastrointestinal Injuries in Abdominal Trauma- A Cross Sectional Study

Introduction: Gastrointestinal (GI) injuries in abdominal trauma are a significant concern due to their complexity and potential for life-threatening complications. This study aims to explore the demographic profile, clinical presentation, and management modalities in patients with GI injuries. Materials And Method: Across-sectional study was conducted among 51 patients with GI injuries who underwent surgery at Rohilkhand Medical College and Hospital. Patients were managed according to Advanced Trauma Life Support (ATLS) protocols, and surgical interventions were tailored based on injury severity and location. Results: The study found a male predominance (74.5%) and a high incidence of road traffic accidents (41.2%) as the primary cause of injury. The ileum and jejunum were the most commonly injured organs. Loop/diversion ileostomy and seromuscular closure were the most common surgical procedures. Postoperative complications occurred in 41.2% of patients, with electrolyte imbalance and wound dehiscence being the most common. The mortality rate was 7.8%, with all deaths occurring within the first 10 days of hospital stay. Conclusion: The management of GI injuries requires a comprehensive approach, including prompt resuscitation, timely surgical intervention, and intensive postoperative care. Understanding the demographic profile and clinical presentation of patients with GI injuries can help develop evidence-based protocols to improve patient outcomes and reduce trauma-related morbidity and mortality.