RETROSPECTIVE STUDY OF PERFORATED PEPTIC ULCER: A TERTIARY HOSPITAL BASED STUDY

Dr. Omprakash Raj, Dr. Sumit Dhruve

Abstract


Background: Peptic Ulcer Perforation is an important and common emergency. One of the most dreaded and common
complication of peptic ulcers is perforation. Perforations account for about 5% of peptic ulcers.
Aim and Objectives: The aim of this study is clinical study of perforated peptic ulcer with objectives to assess the socio demographic distribution
of peptic ulcer and to assess the clinical presentations and management of peptic ulcer perforation.
Methodology: This was a retrospective study conducted in Chhattisgarh Institute of Medical Sciences Bilaspur in year 2018-2019. Total 158
patients were taken, who were diagnosed and operated for perforated peptic ulcer. Detail history and clinical findings were taken from case file.
Result: a total 158 patients were studied, 76% were male, and 41-50 years age group was commonly affected. Alcohol consumption, old age, comorbid
illness and pre admission delayed was most common factor. Abdominal pain i.e. 100% was most common presentation. Duodenal
perforation was common i.e.38.60%. omentopaxy was preferable mode of repair perforation.
Conclusion: Perforation of peptic ulcer is one of the common surgical emergencies and requires awareness and prompt management and
operation. It mostly affects young and middle aged males in the thirties. Simple closure with omentopaxy is standard procedure.


Full Text:

PDF

References


Zelickson MS, Bronder CM, Johnson BL, Camunas JA, Smith DE, Rawlinson D et al: Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation. Am Surg. 2011, 77: 1054–1060.

Dogra JR. Incidence of peptic ulcer in India with special refer¬ence to South India. Indian J Med Res 1941;29:665–76.

Malhotra SL. Peptic ulcer in India and its etiology. Gut 1964;5:412–6.

Bertleff MJ, Lange JF. Perforated peptic ulcer disease: A review of history and treatment. Dig Surg 2010;27:161–9.

. Lau JY, Sung J, Hill C, Henderson C, Howden CW, Metz DC: Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion. 2011, 84: 102–113.

Jennings D. Perforated peptic ulcer. Lancet 1940;1:444.

Svanes C, Lie RT, Kvåle G, Svanes K., Søreide O. Incidence of perforated ulcer in western Norway 1935–1990: Cohort or period dependent time trends? Am J Epidemiol 1995;141:836.

Horowitz J, Kukora JS, Ritchie WP. All perforated ulcers are not alike. Ann Surg 1989;209:693.

Møller MH, Adamsen S, Wojdemann M, Møller AM. Perforated peptic ulcer: How to improve outcome? Scand J Gastroenterol 2009;44(1):15–22.

Rogers EL, Mattingly SS, Bivins BA, Griffen WO Jr. Changing aspects of peptic ulcer disease. South Med J. 1981 Sep;74(9):1069-71.

Boey J, Wong J, Ong GB.Ann Surg. 1982 Mar;195(3):265-9.A prospective study of operative risk factors in perforated duodenal ulcers.A prospective study of operative risk factors in perforated duodenal ulcers.Boey J, Wong J, Ong GB.

Hannan A, Islam B, Hussain M, Haque MM, Kudrat-E-Khuda MI. Early complications of suture closure of perforated duodenal ulcer: A study of 100 cases. Teach Assoc J. 2005;18(2):122–6.

Nuhu A, Madziga AG, Gali BM: Acute perforated duodenal ulcer in Maiduguri. Internet J Surg. 2009;21:1.

Svanes C. Trends in perforated peptic ulcer: incidence, etiology, treatment and prognosis. World J Surg. 2000;24(3):277-83.

Zelickson MS, Bronder CM, Johnson BL, Camunas JA, Smith DE, Rawlinson D, Von S, Stone HH, Taylor SM. Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation. Am Surg. 2011;77:1054–1060.

Chey WD, Wong BC. American College of Gastroenterology guideline on the management of Helicobacter pylori infection. Am J Gastroenterol. 2007;102:1808–1825.

Nishith M Paul Ekka, Shital MaluaClinical study of peptic ulcer perforation in eastern India: An tertiary institution-based study International Journal of Medical Science and Public Health | 2016 | Vol 5 | Issue 12

Everett JS, Harkins HN, Olson HH, Moore HG(Jr), Merendino KA. Perforated Peptic Ulcer: A Study of 136 Cases in a County Hospital. Ann Surg. 1953 Nov; 138(5): 689–697.

Imhof M, Epstein S, Ohmann C, Röher HD. Duration of survival after peptic ulcer perforation. World J Surg. 2008;32:408–412.


Refbacks

  • There are currently no refbacks.