Complications of high grade liver injuries: management and outcomewith focus on bile leaks View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-12

AUTHORS

Miklosh Bala, Samir Abu Gazalla, Mohammad Faroja, Allan I Bloom, Gideon Zamir, Avraham I Rivkind, Gidon Almogy

ABSTRACT

BACKGROUND: Although liver injury scale does not predict need for surgical intervention, a high-grade complex liver injury should alert the physician to expect an increased risk of hepatic complications following trauma. The aim of the current study was to define hepatic related morbidity in patients sustaining high-grade hepatic injuries that could be safely managed non-operatively. PATIENTS AND METHODS: This is a retrospective study of patients with liver injury admitted to Hadassah-Hebrew University Medical Centre over a 10-year period. Grade 3-5 injuries were considered to be high grade. Collected data included the number and types of liver-related complications. Interventions which were required for these complications in patients who survived longer than 24 hours were analysed. RESULTS: Of 398 patients with liver trauma, 64 (16%) were found to have high-grade liver injuries. Mechanism of injury was blunt trauma in 43 cases, and penetrating in 21. Forty patients (62%) required operative treatment. Among survivors 22 patients (47.8%) developed liver-related complications which required additional interventional treatment. Bilomas and bile leaks were diagnosed in 16 cases post-injury. The diagnosis of bile leaks was suspected with abdominal CT scan, which revealed intraabdominal collections (n = 6), and ascites (n = 2). Three patients had continuous biliary leak from intraabdominal drains left after laparotomy. Nine patients required ERCP with biliary stent placement, and 2 required percutaneous transhepatic biliary drainage. ERCP failed in one case. Four angioembolizations (AE) were performed in 3 patients for rebleeding. Surgical treatment was found to be associated with higher complication rate. AE at admission was associated with a significantly higher rate of biliary complications. There were 24 deaths (37%), the majority from uncontrolled haemorrhage (18 patients). There were only 2 hepatic-related mortalities due to liver failure. CONCLUSIONS: A high complication rate following high-grade liver injuries should be anticipated. In patients with clinical evidence of biliary complications, CT scan is a useful diagnostic and therapeutic tool. AE, ERCP and temporary internal stenting, together with percutaneous drainage of intra-abdominal or intrahepatic bile collections, represents a safe and effective strategy for the management of complications following both blunt and penetrating hepatic trauma. More... »

PAGES

20

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1757-7241-20-20

DOI

http://dx.doi.org/10.1186/1757-7241-20-20

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025275934

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22444252


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Abdominal Injuries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Bile", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Biliary Tract Diseases", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cholangiopancreatography, Endoscopic Retrograde", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Drainage", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Injury Severity Score", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Liver", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prognosis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Time Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Tomography, X-Ray Computed", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Wounds, Nonpenetrating", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bala", 
        "givenName": "Miklosh", 
        "id": "sg:person.0730362551.74", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0730362551.74"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gazalla", 
        "givenName": "Samir Abu", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Faroja", 
        "givenName": "Mohammad", 
        "id": "sg:person.01304364510.33", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01304364510.33"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of Interventional Radiology, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bloom", 
        "givenName": "Allan I", 
        "id": "sg:person.01326351734.81", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01326351734.81"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Zamir", 
        "givenName": "Gideon", 
        "id": "sg:person.01075021154.37", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01075021154.37"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Rivkind", 
        "givenName": "Avraham I", 
        "id": "sg:person.01302455740.70", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01302455740.70"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hadassah Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.17788.31", 
          "name": [
            "Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Almogy", 
        "givenName": "Gidon", 
        "id": "sg:person.01211247554.15", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01211247554.15"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1111/j.1440-1746.2006.04780.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004414775"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200006000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009559382"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200006000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009559382"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000188937.75879.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010612384"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000188937.75879.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010612384"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000188937.75879.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010612384"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000188937.75879.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010612384"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199308000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014011591"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199308000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014011591"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199308000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014011591"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s004649900663", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017672228", 
          "https://doi.org/10.1007/s004649900663"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.5195", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019075801"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.5195", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019075801"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpedsurg.2006.05.007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023357744"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e31819919f2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026964131"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e31819919f2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026964131"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e31819919f2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026964131"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000100219.02085.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027146800"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000100219.02085.ab", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027146800"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199506000-00013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027704087"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199506000-00013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027704087"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199404000-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029166734"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199404000-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029166734"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-198912000-00014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030228482"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-198912000-00014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030228482"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.138.5.475", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033167789"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0472-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033851348", 
          "https://doi.org/10.1007/s00464-005-0472-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0472-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033851348", 
          "https://doi.org/10.1007/s00464-005-0472-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s003300050598", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036829599", 
          "https://doi.org/10.1007/s003300050598"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.gie.2007.02.022", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037384075"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.134.9.958", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045026247"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.141.5.451", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046005485"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199601000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060208167"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199601000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060208167"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199601000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060208167"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199904000-00010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060210032"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199904000-00010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060210032"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-199904000-00010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060210032"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074621092", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074627518", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2012-12", 
    "datePublishedReg": "2012-12-01", 
    "description": "BACKGROUND: Although liver injury scale does not predict need for surgical intervention, a high-grade complex liver injury should alert the physician to expect an increased risk of hepatic complications following trauma. The aim of the current study was to define hepatic related morbidity in patients sustaining high-grade hepatic injuries that could be safely managed non-operatively.\nPATIENTS AND METHODS: This is a retrospective study of patients with liver injury admitted to Hadassah-Hebrew University Medical Centre over a 10-year period. Grade 3-5 injuries were considered to be high grade. Collected data included the number and types of liver-related complications. Interventions which were required for these complications in patients who survived longer than 24 hours were analysed.\nRESULTS: Of 398 patients with liver trauma, 64 (16%) were found to have high-grade liver injuries. Mechanism of injury was blunt trauma in 43 cases, and penetrating in 21. Forty patients (62%) required operative treatment. Among survivors 22 patients (47.8%) developed liver-related complications which required additional interventional treatment. Bilomas and bile leaks were diagnosed in 16 cases post-injury. The diagnosis of bile leaks was suspected with abdominal CT scan, which revealed intraabdominal collections (n = 6), and ascites (n = 2). Three patients had continuous biliary leak from intraabdominal drains left after laparotomy. Nine patients required ERCP with biliary stent placement, and 2 required percutaneous transhepatic biliary drainage. ERCP failed in one case. Four angioembolizations (AE) were performed in 3 patients for rebleeding. Surgical treatment was found to be associated with higher complication rate. AE at admission was associated with a significantly higher rate of biliary complications. There were 24 deaths (37%), the majority from uncontrolled haemorrhage (18 patients). There were only 2 hepatic-related mortalities due to liver failure.\nCONCLUSIONS: A high complication rate following high-grade liver injuries should be anticipated. In patients with clinical evidence of biliary complications, CT scan is a useful diagnostic and therapeutic tool. AE, ERCP and temporary internal stenting, together with percutaneous drainage of intra-abdominal or intrahepatic bile collections, represents a safe and effective strategy for the management of complications following both blunt and penetrating hepatic trauma.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1757-7241-20-20", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1040201", 
        "issn": [
          "1757-7241"
        ], 
        "name": "Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "20"
      }
    ], 
    "name": "Complications of high grade liver injuries: management and outcomewith focus on bile leaks", 
    "pagination": "20", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "786a3ca51701e442d123a9f9cd3115e0abd948b7f1b3417925c6f0ce23034285"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "22444252"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101477511"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1757-7241-20-20"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1025275934"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1757-7241-20-20", 
      "https://app.dimensions.ai/details/publication/pub.1025275934"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T17:32", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8672_00000512.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1757-7241-20-20"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1757-7241-20-20'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1757-7241-20-20'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1757-7241-20-20'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1757-7241-20-20'


 

This table displays all metadata directly associated to this object as RDF triples.

245 TRIPLES      21 PREDICATES      68 URIs      38 LITERALS      26 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1757-7241-20-20 schema:about N028f73be49b94d33870eaa379d064c8b
2 N2129955ba84b491e86a40df0225e94e4
3 N27a24dd467d74a98b0e2e6d7196fa0d5
4 N38bf7e68f3fb46a18cbe3246f0aa4a90
5 N654cb5feb94944adab523564c77cf831
6 N65fbee3025de4d1bb4a3f59f4ad9b688
7 N675d49b0b2d44ffea21fc09d16b73126
8 N6a4dd586c47044faa9b7222f0997e155
9 N6ee5ef014d3d4884ac5bbf53cb4aa131
10 N774f937307594e5aae6c0cbe315ede64
11 Na648bf50191c4e8fb830eb0484217de2
12 Nb5937b53c6774a1fbdddb7051af5da3f
13 Ne2a267e6e6264e40b0908f996c94b079
14 Ne76f41fe3f144633946876744f78318e
15 Nebfdb31b69b649859a8b7a5033aac3b0
16 Nf6e1bffc64e8403f95fc03b5e342eddc
17 Nfb1bbcbfc2784831ba52a8ed10ecff1a
18 anzsrc-for:11
19 anzsrc-for:1103
20 schema:author Nb172df188a964cdea92d8f9cfc3d10e1
21 schema:citation sg:pub.10.1007/s003300050598
22 sg:pub.10.1007/s00464-005-0472-3
23 sg:pub.10.1007/s004649900663
24 https://app.dimensions.ai/details/publication/pub.1074621092
25 https://app.dimensions.ai/details/publication/pub.1074627518
26 https://doi.org/10.1001/archsurg.134.9.958
27 https://doi.org/10.1001/archsurg.138.5.475
28 https://doi.org/10.1001/archsurg.141.5.451
29 https://doi.org/10.1002/bjs.5195
30 https://doi.org/10.1016/j.gie.2007.02.022
31 https://doi.org/10.1016/j.jpedsurg.2006.05.007
32 https://doi.org/10.1097/00000658-199506000-00013
33 https://doi.org/10.1097/00000658-200006000-00004
34 https://doi.org/10.1097/00005373-198912000-00014
35 https://doi.org/10.1097/00005373-199308000-00004
36 https://doi.org/10.1097/00005373-199404000-00012
37 https://doi.org/10.1097/00005373-199601000-00007
38 https://doi.org/10.1097/00005373-199904000-00010
39 https://doi.org/10.1097/01.ta.0000100219.02085.ab
40 https://doi.org/10.1097/01.ta.0000188937.75879.ab
41 https://doi.org/10.1097/ta.0b013e31819919f2
42 https://doi.org/10.1111/j.1440-1746.2006.04780.x
43 schema:datePublished 2012-12
44 schema:datePublishedReg 2012-12-01
45 schema:description BACKGROUND: Although liver injury scale does not predict need for surgical intervention, a high-grade complex liver injury should alert the physician to expect an increased risk of hepatic complications following trauma. The aim of the current study was to define hepatic related morbidity in patients sustaining high-grade hepatic injuries that could be safely managed non-operatively. PATIENTS AND METHODS: This is a retrospective study of patients with liver injury admitted to Hadassah-Hebrew University Medical Centre over a 10-year period. Grade 3-5 injuries were considered to be high grade. Collected data included the number and types of liver-related complications. Interventions which were required for these complications in patients who survived longer than 24 hours were analysed. RESULTS: Of 398 patients with liver trauma, 64 (16%) were found to have high-grade liver injuries. Mechanism of injury was blunt trauma in 43 cases, and penetrating in 21. Forty patients (62%) required operative treatment. Among survivors 22 patients (47.8%) developed liver-related complications which required additional interventional treatment. Bilomas and bile leaks were diagnosed in 16 cases post-injury. The diagnosis of bile leaks was suspected with abdominal CT scan, which revealed intraabdominal collections (n = 6), and ascites (n = 2). Three patients had continuous biliary leak from intraabdominal drains left after laparotomy. Nine patients required ERCP with biliary stent placement, and 2 required percutaneous transhepatic biliary drainage. ERCP failed in one case. Four angioembolizations (AE) were performed in 3 patients for rebleeding. Surgical treatment was found to be associated with higher complication rate. AE at admission was associated with a significantly higher rate of biliary complications. There were 24 deaths (37%), the majority from uncontrolled haemorrhage (18 patients). There were only 2 hepatic-related mortalities due to liver failure. CONCLUSIONS: A high complication rate following high-grade liver injuries should be anticipated. In patients with clinical evidence of biliary complications, CT scan is a useful diagnostic and therapeutic tool. AE, ERCP and temporary internal stenting, together with percutaneous drainage of intra-abdominal or intrahepatic bile collections, represents a safe and effective strategy for the management of complications following both blunt and penetrating hepatic trauma.
46 schema:genre research_article
47 schema:inLanguage en
48 schema:isAccessibleForFree true
49 schema:isPartOf N4cd67587b0764e45aeed8fc151d0e56d
50 Na7460db76a364671934f844d34e63405
51 sg:journal.1040201
52 schema:name Complications of high grade liver injuries: management and outcomewith focus on bile leaks
53 schema:pagination 20
54 schema:productId N39d502ee0e344875ab03c8daf618e054
55 N5f9f06db7d2a4c42a420e613b54e81cf
56 N6545a2858d8d4b3fa25fce5abb734b5d
57 Ncd7d5ea506ad4537a770cbb676b8ed7b
58 Ne30995fa5a1843e4823ff70ae4caf8ec
59 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025275934
60 https://doi.org/10.1186/1757-7241-20-20
61 schema:sdDatePublished 2019-04-10T17:32
62 schema:sdLicense https://scigraph.springernature.com/explorer/license/
63 schema:sdPublisher Na5c636d829464e91a56a3b35bc7cfe46
64 schema:url http://link.springer.com/10.1186%2F1757-7241-20-20
65 sgo:license sg:explorer/license/
66 sgo:sdDataset articles
67 rdf:type schema:ScholarlyArticle
68 N028f73be49b94d33870eaa379d064c8b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
69 schema:name Prognosis
70 rdf:type schema:DefinedTerm
71 N03ca7bb383da4231a3b01d81d0bcc619 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
72 schema:familyName Gazalla
73 schema:givenName Samir Abu
74 rdf:type schema:Person
75 N13240f87e09e4efea85d60ea4ca7dd45 rdf:first sg:person.01304364510.33
76 rdf:rest N8376fb7ae445484d84a8ea5b9fef1a0b
77 N2129955ba84b491e86a40df0225e94e4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
78 schema:name Biliary Tract Diseases
79 rdf:type schema:DefinedTerm
80 N27a24dd467d74a98b0e2e6d7196fa0d5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
81 schema:name Abdominal Injuries
82 rdf:type schema:DefinedTerm
83 N33e87b1c33f4495e94f6204f71e44e01 rdf:first sg:person.01302455740.70
84 rdf:rest N9e64eb8738f54437a265d5532687ac2d
85 N34239a076b6d4e54a9503b388ee52ad2 rdf:first sg:person.01075021154.37
86 rdf:rest N33e87b1c33f4495e94f6204f71e44e01
87 N38bf7e68f3fb46a18cbe3246f0aa4a90 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
88 schema:name Female
89 rdf:type schema:DefinedTerm
90 N39d502ee0e344875ab03c8daf618e054 schema:name nlm_unique_id
91 schema:value 101477511
92 rdf:type schema:PropertyValue
93 N4cd67587b0764e45aeed8fc151d0e56d schema:volumeNumber 20
94 rdf:type schema:PublicationVolume
95 N5f9f06db7d2a4c42a420e613b54e81cf schema:name readcube_id
96 schema:value 786a3ca51701e442d123a9f9cd3115e0abd948b7f1b3417925c6f0ce23034285
97 rdf:type schema:PropertyValue
98 N6545a2858d8d4b3fa25fce5abb734b5d schema:name doi
99 schema:value 10.1186/1757-7241-20-20
100 rdf:type schema:PropertyValue
101 N654cb5feb94944adab523564c77cf831 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Injury Severity Score
103 rdf:type schema:DefinedTerm
104 N65fbee3025de4d1bb4a3f59f4ad9b688 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Retrospective Studies
106 rdf:type schema:DefinedTerm
107 N675d49b0b2d44ffea21fc09d16b73126 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
108 schema:name Drainage
109 rdf:type schema:DefinedTerm
110 N6a4dd586c47044faa9b7222f0997e155 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
111 schema:name Cholangiopancreatography, Endoscopic Retrograde
112 rdf:type schema:DefinedTerm
113 N6ee5ef014d3d4884ac5bbf53cb4aa131 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
114 schema:name Tomography, X-Ray Computed
115 rdf:type schema:DefinedTerm
116 N774f937307594e5aae6c0cbe315ede64 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
117 schema:name Young Adult
118 rdf:type schema:DefinedTerm
119 N8376fb7ae445484d84a8ea5b9fef1a0b rdf:first sg:person.01326351734.81
120 rdf:rest N34239a076b6d4e54a9503b388ee52ad2
121 N9bdb0800eb4647b39ec5300fb076c170 rdf:first N03ca7bb383da4231a3b01d81d0bcc619
122 rdf:rest N13240f87e09e4efea85d60ea4ca7dd45
123 N9e64eb8738f54437a265d5532687ac2d rdf:first sg:person.01211247554.15
124 rdf:rest rdf:nil
125 Na5c636d829464e91a56a3b35bc7cfe46 schema:name Springer Nature - SN SciGraph project
126 rdf:type schema:Organization
127 Na648bf50191c4e8fb830eb0484217de2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Male
129 rdf:type schema:DefinedTerm
130 Na7460db76a364671934f844d34e63405 schema:issueNumber 1
131 rdf:type schema:PublicationIssue
132 Nb172df188a964cdea92d8f9cfc3d10e1 rdf:first sg:person.0730362551.74
133 rdf:rest N9bdb0800eb4647b39ec5300fb076c170
134 Nb5937b53c6774a1fbdddb7051af5da3f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
135 schema:name Humans
136 rdf:type schema:DefinedTerm
137 Ncd7d5ea506ad4537a770cbb676b8ed7b schema:name pubmed_id
138 schema:value 22444252
139 rdf:type schema:PropertyValue
140 Ne2a267e6e6264e40b0908f996c94b079 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
141 schema:name Time Factors
142 rdf:type schema:DefinedTerm
143 Ne30995fa5a1843e4823ff70ae4caf8ec schema:name dimensions_id
144 schema:value pub.1025275934
145 rdf:type schema:PropertyValue
146 Ne76f41fe3f144633946876744f78318e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
147 schema:name Bile
148 rdf:type schema:DefinedTerm
149 Nebfdb31b69b649859a8b7a5033aac3b0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
150 schema:name Wounds, Nonpenetrating
151 rdf:type schema:DefinedTerm
152 Nf6e1bffc64e8403f95fc03b5e342eddc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
153 schema:name Adult
154 rdf:type schema:DefinedTerm
155 Nfb1bbcbfc2784831ba52a8ed10ecff1a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name Liver
157 rdf:type schema:DefinedTerm
158 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
159 schema:name Medical and Health Sciences
160 rdf:type schema:DefinedTerm
161 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
162 schema:name Clinical Sciences
163 rdf:type schema:DefinedTerm
164 sg:journal.1040201 schema:issn 1757-7241
165 schema:name Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
166 rdf:type schema:Periodical
167 sg:person.01075021154.37 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
168 schema:familyName Zamir
169 schema:givenName Gideon
170 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01075021154.37
171 rdf:type schema:Person
172 sg:person.01211247554.15 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
173 schema:familyName Almogy
174 schema:givenName Gidon
175 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01211247554.15
176 rdf:type schema:Person
177 sg:person.01302455740.70 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
178 schema:familyName Rivkind
179 schema:givenName Avraham I
180 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01302455740.70
181 rdf:type schema:Person
182 sg:person.01304364510.33 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
183 schema:familyName Faroja
184 schema:givenName Mohammad
185 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01304364510.33
186 rdf:type schema:Person
187 sg:person.01326351734.81 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
188 schema:familyName Bloom
189 schema:givenName Allan I
190 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01326351734.81
191 rdf:type schema:Person
192 sg:person.0730362551.74 schema:affiliation https://www.grid.ac/institutes/grid.17788.31
193 schema:familyName Bala
194 schema:givenName Miklosh
195 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0730362551.74
196 rdf:type schema:Person
197 sg:pub.10.1007/s003300050598 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036829599
198 https://doi.org/10.1007/s003300050598
199 rdf:type schema:CreativeWork
200 sg:pub.10.1007/s00464-005-0472-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033851348
201 https://doi.org/10.1007/s00464-005-0472-3
202 rdf:type schema:CreativeWork
203 sg:pub.10.1007/s004649900663 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017672228
204 https://doi.org/10.1007/s004649900663
205 rdf:type schema:CreativeWork
206 https://app.dimensions.ai/details/publication/pub.1074621092 schema:CreativeWork
207 https://app.dimensions.ai/details/publication/pub.1074627518 schema:CreativeWork
208 https://doi.org/10.1001/archsurg.134.9.958 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045026247
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1001/archsurg.138.5.475 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033167789
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1001/archsurg.141.5.451 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046005485
213 rdf:type schema:CreativeWork
214 https://doi.org/10.1002/bjs.5195 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019075801
215 rdf:type schema:CreativeWork
216 https://doi.org/10.1016/j.gie.2007.02.022 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037384075
217 rdf:type schema:CreativeWork
218 https://doi.org/10.1016/j.jpedsurg.2006.05.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023357744
219 rdf:type schema:CreativeWork
220 https://doi.org/10.1097/00000658-199506000-00013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027704087
221 rdf:type schema:CreativeWork
222 https://doi.org/10.1097/00000658-200006000-00004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009559382
223 rdf:type schema:CreativeWork
224 https://doi.org/10.1097/00005373-198912000-00014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030228482
225 rdf:type schema:CreativeWork
226 https://doi.org/10.1097/00005373-199308000-00004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014011591
227 rdf:type schema:CreativeWork
228 https://doi.org/10.1097/00005373-199404000-00012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029166734
229 rdf:type schema:CreativeWork
230 https://doi.org/10.1097/00005373-199601000-00007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060208167
231 rdf:type schema:CreativeWork
232 https://doi.org/10.1097/00005373-199904000-00010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060210032
233 rdf:type schema:CreativeWork
234 https://doi.org/10.1097/01.ta.0000100219.02085.ab schema:sameAs https://app.dimensions.ai/details/publication/pub.1027146800
235 rdf:type schema:CreativeWork
236 https://doi.org/10.1097/01.ta.0000188937.75879.ab schema:sameAs https://app.dimensions.ai/details/publication/pub.1010612384
237 rdf:type schema:CreativeWork
238 https://doi.org/10.1097/ta.0b013e31819919f2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026964131
239 rdf:type schema:CreativeWork
240 https://doi.org/10.1111/j.1440-1746.2006.04780.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1004414775
241 rdf:type schema:CreativeWork
242 https://www.grid.ac/institutes/grid.17788.31 schema:alternateName Hadassah Medical Center
243 schema:name Department of General Surgery and Trauma Unit, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel
244 Department of Interventional Radiology, Hadassah-Hebrew University Medical Centre, Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel
245 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...