Clinical Study and Management of Gastric Perforation
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Gastric perforation is one of the most serious and most overwhelming catastrophy. Perforations of peptic ulcer are third in frequencies, acute appendicitis and acute intestinal obstruction being more common. Prompt recognition of the condition is very important and only by early diagnosis and treatment it is possible to reduce the still relatively high mortality. The aim of this study was to study the factors influencing, the outcome of the gastric perforations. Material and methods: The study was conducted in 2 years. 50 Cases admitted on emergency basis and diagnosed as gastric perforations age group of 20 to 70 years were included in the study. Results: The perforation was common between age group of 40-70 years. Perforation was more common in male patients. It was 74 percent in males and 16 percent n females. Mortality rate in our study series was 6 percent. Gastric ulcer cases, perforation is seen in pre pyloric region and in stab injury cases, it was antrum and body. The duration of perforation more than 24hours has increased morbidity and mortality. Most of the perforations were due to peptic ulcer with the 88 percent. Under the pre disposing factor, smoking stands at the first at 66 percent and alcohol at 60 percent. Conclusions: Early diagnosis and prompt management of shock and septicemia is important for better prognosis of patients.
Authors and Affiliations
Talapula Sreelaxmi, T. Badrinath
Keywords
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