Primary Repair Versus Pyloric Exclusion in Adult Traumatic Duodenal Injury: A Systematic Review and Meta-Analysis With a Grade-Restricted Analysis of AAST Grade III Injuries.
BACKGROUND Whether pyloric exclusion (PE) retains any advantage over primary repair (PR) in adult traumatic duodenal injury is uncertain and confounded by indication. We restricted the comparison to the zone in which both techniques are realistically applicable. METHODS Five databases were searched through March 2026...