Stomach injury-trauma grading

Stomach injuries are graded I-V with increasing severity having higher grading.

Grade I

• Stomach contusion or hematoma
• Stomach partial thickness laceration

Grade II

• Stomach laceration <2 cm in gastroesophageal junction or pylorus
• Stomach laceration <5 cm in proximal 1/3^rd of the stomach
• Stomach laceration <10 cm in distal 2/3^rd of the stomach

Grade III

• Stomach laceration >2 cm in gastroesophageal junction or pylorus
• Stomach laceration >5 cm in proximal 1/3^rd of the stomach
• Stomach laceration >10 cm in distal 2/3^rd of the stomach

Grade IV

• Stomach injury with either tissue loss or devascularization of <2/3rds of the stomach

Grade V

• Stomach injury with either tissue loss of devascularization of >2/3rds of the stomach

Note to advance one grade for multiple injuries up to grade III.

References

Moore EE, et al. Organ injury scaling VI: extrahepatic biliary, oesophagus, stomach, vulva, vagina, uterus (non-pregnant), uterus (pregnant), fallopian tube, and ovary. J trauma. 1995;39(6):1069-70.

[Outline]

• Information
• Grade I
• Grade II
• Grade III
• Grade IV
• Grade V
• References