A Retrospective Study of Perforated Peptic Ulcer: A Surgical Emergency

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A Retrospective Study of Perforated Peptic Ulcer: A Surgical Emergency

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10

Abstract

Introduction: Duodenal perforation is a most commonly encountered surgical emergency. Usually seen secondary to duodenal ulcer it causes leak of bile juice acid peptic juice and pancreatic juice into the general peritoneal cavity which causes peritoneal irritation followed by increased peritoneal fluid secretion which leads to easy invasion by bacteria leading to peritonitis within 12 hours of perforation1 . Materials and methods: This is a retrospective study of patients who were diagnosed, managed and operated for perforated peptic ulcer at Saptagiri Institute of Medical Sciences and Research Center, Hesarghatta main road, Chikkasandra, Bangalore, India from January 2017 to December 2017. Data of 300 patients were collected from case records using a standard proforma and their risk factors, post-operative progress and outcome were analysed. Results: In our study of 300 cases, patients between ages of 30-50 years (72%) were commonly affected and there was male predominance (83%). Smoking, alcohol consumption and improper treatment for peptic ulcer were major risk factors. The significantly related complications were due to co-morbid illness, age and delayed presentation for treatment. Conclusion: Perforation of peptic ulcer is frequent surgical emergency and requires awareness and prompt management and operation. It mostly affects young and middle aged males in their productive age. Most of the times there are no alarming signs before actual ailment, but seeking proper medical help in time results in favorable results. Simple closure with omental patches i.e. omentpexy give excellent results. Patient should be prescribed treatment for Helicobacter pylori and PPI. They should be advised to avoid the common risk factors like too much spicy food, smoking, excess alcohol use, and indiscriminate use of NSAIDs and should seek proper medical advice in time.

Authors and Affiliations

Dr. A. M. Sreedhara

Keywords

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EP ID EP401680
DOI 10.9790/0853-1710058083.
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