Objective:In this study, we aimed to investigate the effective factors on morbidity due to small intestine penetrating injuries. patients who underwent surgery due to penetrating small intestine injuries were retrospectively reviewed. Results: The mean age was 32.8±12.3years (15-77), and there were 96 patients, (84.2%) male and 18 (15.8%) female patients. The most common etiologic cause was gun-shot injuries (66.7%). Fifty-one (44.7%) patients had isolated small intestine injuries and 63 (55.3%) had small intestine and additional organ injuries. Colon was the most common additional organ injured (66.7%) Most commonly, 68 (59.7%) patients underwent primary suture. T Postoperative morbidity occurred in 30 patients (25%) and the most common complication was wound infection. The morbidity was significantly higher in the patients with small intestine and additional organ injuries (p=0.006). The morbidity was higher in patients who exhibited signs of peritonitis (p=0.048) and had colonic injuries (p=0.002). The number of blood transfusions was effective in mortality (p<0.001). The mean length of hospital stay was 6.9±2.9 (1-21) days, significantly longer in the patients who developed morbidity (p=0.002). Seven (6.1%) patients died due to hemorrhage in 6 patients and anastomotic leakage in 1 patient. Conclusion: Small intestine injuries significantly increase the postoperative morbidiy when accompanied by additional intraabdominal organ injuries, especially the colon. (JAEM 2012; 11: 204-7) Kolon, n (%) 42 (49.4) Mide, n (%) 13 (15.3) Karaciğer, n (%) 9 (10.6) Böbrek, n (%) 4 (4.7) iliak ven, n (%) 4 (4.7) Pankreas, n (%) 3 (3.5) Duodenum, n (%) 3 (3.5) Dalak, n (%) 2 (2.4) VCİ, n (%) 2 (2.4) Rektum, n (%) 2 (2.4) Safra kesesi, n (%) 1 (1.2) Tablo 2. Yandaş organ yaralanmaları Yaş (yıl) 32.8±12.3 (15-77) Cinsiyet Erkek, n (%) 96 (84.2) Kadın, n (%) 18 (15.8) Hastaneye başvuru süresi (saat) 2.2±1.3 (1-8) Yaralanma tipi Ateşli silah yaralanması, n (%) 76 (66.7) Kesici-delici alet yaralanması, n (%) 38 (33.3) Ameliyata alınma nedeni Periton irritasyon bulguları, n (%) 85 (74.6) Hemodinamik anstabilite, n (%) 19 (16.7) Eviserasyon, n (%) 10 (8.8) Tek bir yerde ince bağırsak yaralanması, n (%) 23 (20.2) Multıbl ince bağırsak yaralanması, n (%) 91 (79.8) İzole ince bağırsak yaralanması, n (%) 51 (44.7) Yandaş organ yaralanması, n (%) 63 (55.3) Ekstra abdominal organ yaralanması, n (%) 13 (11.4) ISS değerleri 17.2±6.9 (9-34) Toplam kan transfüzyonu (ünite) 0.8±1.1 (0-6) Morbidite, n (%) 30 (26.3) Mortalite, n (%) 7 (6.1) Hastanede yatış süresi (gün) 6.9±2.9 (1-21) ISS: Organ yaralanma şiddet skoru Tablo 1. Hastalara ait demografik ve karakteristik klinik bulgular Yara yeri enfeksiyonu, n (%) 13 (43.3) Pulmoner, n (%) 7 (23.3) Yara yeri ayrışması, n (%) 5 (16.7) İntraabdominal abse, n (%) 4 (13.3) Eviserasyon, n (%) 1 (3.3) Tablo 3. Komplikasyonlar JAEM 2012; 11: 204-7 Önder et al. Morbidity in Small Intestine Injuries