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 |
IV |
Tissue
loss or devascularization < 2/3 |
Disruption
> 75% of circumference of D2, |
|
V |
Tissue
loss or devascularization > 2/3 |
Massive
disruption of duodenopancreatic |
D1 first position of duodenum
D2 second position of duodenum
D3 third position of duodenum
D4 fourth position of duodenum