A STUDY ON MORTALITY IN PERFORATED PEPTIC ULCER
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 9
Abstract
NSAIDs are responsible for most of the perforated peptic ulcers. Patients with perforated peptic ulcer have a hospital mortality risk of 10% to 20%. It is a significant problem for India, so this study was done to determine the magnitude and management of mortality risk. A study of 132 cases of perforated peptic ulcer admitted in government general hospital, Kurnool, Andhrapradesh, India from August 2017 to July 2019 was carried out. Alcohol(38.6%), smoking and NSAIDs are important etiologic factors for peptic ulcer. The mortality in perforated peptic ulceration is 33.3%. Risk of mortality was associated with shock at presentation and time delay in presentation. A perforated peptic ulcer is a surgical emergency. It is a life-threatening condition which requires early diagnosis and immediate surgery — delayed management results in mortality. Most require surgery with omental pedicle patch. Mortality is high with a time delay to the presentation, medical comorbidities, shock at the time presentation and old age (>60yrs)
Authors and Affiliations
Dr B Madhava Krishna, Dr B Srinivas
Keywords
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