Traumatic injury to the stomach can be graded using the Stomach Injury Scale.
|
Type of Injury |
Description |
Grade |
|
contusion or hematoma |
|
I |
|
laceration |
partial thickness |
I |
|
laceration at GE junction |
<= 2 cm |
II |
|
|
> 2 cm |
III |
|
laceration in proximal third |
<= 5 cm |
II |
|
|
> 5 cm |
III |
|
laceration in distal two thirds |
<= 10 cm |
II |
|
|
> 10 cm |
III |
|
laceration in pylorus |
<= 2 cm |
II |
|
|
> 2 cm |
III |
|
tissue loss or devascularization |
<= 2/3 of stomach |
IV |
|
|
> 2/3 of stomach |
V |
If more than 1 injury is present, then increase the final Grade by 1 up to Grade III.
where:
• I am assuming that the increase in grade for multiple injuries applies for Grade II to III, but not III to IV.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Gastroenterology
ICD-10: ,
