Table 1: AAST-scale for classification of abdominal upper GI injuries [36].

Grade

Type of injury

Description of injury

Stomach

Duodenum

1

Hematoma

Contusion or hematoma

Involving single portion of duodenum

Laceration

Partial-thickness

Partial-thickness, no perforation

Hematoma

Involving more than one portion

II

Laceration

Laceration < 2 cm in GE junction or pylorus; < 5 cm in proximal 1/3 stomach; < 10 cm in distal 1/3 stomach

Disruption < 50% of circumference

III

Laceration

Laceration > 2 cm in GE junction or pylorus; > 5 cm in proximal 1/3 stomach; > 10 cm in distal 1/3 stomach

Disruption 50%-75% of circumference of
D2; Disruption 50%-100% of circumference of D1, D3, D4

IV

Tissue loss or devascularization < 2/3
stomach

Disruption > 75% of circumference of D2,
involving ampulla or distal common bile duct

V

Tissue loss or devascularization > 2/3
stomach

Massive disruption of duodenopancreatic
complex; devascularization of duodenum

 

D1 first position of duodenum

D2 second position of duodenum

D3 third position of duodenum

D4 fourth position of duodenum