biostudies-literatureUnknown20(1)Frey S<h4>Background</h4>Duodenal injuries are rare, associated with a significant morbidity. Their management is challanging and remains controversial.<h4>Methods</h4>A retrospective study of all consecutive patients with duodenal trauma managed in 21 French trauma centers from 2004 to 2023. Clinical data, trauma mechanisms, injury severity, treatment modalities and outcomes were collected. Specific attention was given to surgical techniques such as damage control laparotomy, primary repair only and duodenal diversion. Statistical analysis was performed to identify factors associated with duodenal leak, severe morbidity and mortality.<h4>Results</h4>One hundred and thirty-five patients (71.7% male, mean age 35 years) were included, 64% with blunt trauma. Duodenal AAST grades I-II occurred in 68World journal of emergency surgery : WJES89https://www.ebi.ac.uk/biostudies/studies/S-EPMC12690877biostudies-literatureHow are duodenal trauma managed? A French nationwide study.PMC12690877Lauka LBajul MMonneuse OBrustia RLermite ESuc BBentellis IMonchal TMassalou DBlanc PYMulliri ADezeustre MAmrou RBonnet JHornez EChirica MBacoeur-Ouzillou OLe Roy BAbba JBoutry EGrellet RCastel APassot GMege DRodriguez QBaque PAubert MTurco CPezet DGaujoux SMenegaux FBertrand MBuc EDelestre MSchneck ASAlves ASommacale DBirnbaum DJFacy OHentati HFrey SDubuisson VLaurent AGirard ESulpice LfalseHow are duodenal trauma managed? A French nationwide study.<h4>Background</h4>Duodenal injuries are rare, associated with a significant morbidity. Their management is challanging and remains controversial.<h4>Methods</h4>A retrospective study of all consecutive patients with duodenal trauma managed in 21 French trauma centers from 2004 to 2023. Clinical data, trauma mechanisms, injury severity, treatment modalities and outcomes were collected. Specific attention was given to surgical techniques such as damage control laparotomy, primary repair only and duodenal diversion. Statistical analysis was performed to identify factors associated with duodenal leak, severe morbidity and mortality.<h4>Results</h4>One hundred and thirty-five patients (71.7% male, mean age 35 years) were included, 64% with blunt trauma. Duodenal AAST grades I-II occurred in 682025-01-01T00:00:00Z2025 Dec2026-06-06T01:10:21.451Z2026-05-24T03:12:05.67ZS-EPMC126908774136640810.1186/s13017-025-00661-z