Table 1. The American Association for the Surgery of Trauma (AAST) Classification of Duodenum Injuries 17 .
Grade | Type | Description |
---|---|---|
I | Hematoma | Involving single portion of duodenum |
Laceration | Partial thickness, no perforation | |
II | Hematoma | Involving more than one portion |
Laceration | Disruption <50% of circumference | |
III | Laceration | Disruption 50%-75% of circumference of D2 Disruption 50%-100% of circumference of D1, D3, D4 |
IV | Laceration | Disruption >75% of circumference of D2 Involving ampulla or distal common bile duct |
V | Laceration | Massive disruption of duodenopancreatic complex |
Vascular | Devascularization of duodenum |