Clinical Study and Management of Peptic Ulcer Perforation in a Tertiary Care Centre
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Peptic ulcer disease is a medical disease managed mainly by medical treatment including H2 blockers, proton pump inhibitors and antibiotics. With advent of medical therapy and eradication of Helicobacter pylori, the complications have reduced. But perforation of peptic ulcer, a surgical emergency, is still frequently occurring. This is a cross sectional study of patients who were diagnosed, managed and operated for perforated peptic ulcer at Sardar Patel Medical College and Hospital, Bikaner, Rajasthan, from January to August 2018. Data were analysed using a questionnaire proforma, including patient’s demographic details, associated premorbid illness, risk factors, site and size of perforation, type of surgical procedure, postoperative complications and mortality. In our study of 58 cases, patients between ages of 30-50 years (44.82%) were commonly affected and there was male predominance (94.82%). Smoking, alcohol consumption and NSAIDs were major risk factors. The significantly related complications were due to co-morbid illness, age and delayed presentation for treatment. On laparotomy gastric perforation was seen in 60.34% cases. 91.37% cases were managed by Graham’s omentopexy at laparotomy. Perforated peptic ulcer (PPU) is always a surgical emergency, predominantly affecting middle aged male, may be because of dietary habits (very spicy food) and other risk factors. Surgical intervention is always warranted. Simple closure with omental patch is the standard procedure, followed by medical treatment.
Authors and Affiliations
Anoop Singh Khod, Bhal Singh
Keywords
Related Articles
- EP ID EP484174
- DOI -
- Views 91
- Downloads 0
PSA as a Marker in Breast Cancer: A Clinico-Biochemical Analysis
Breast Cancer is one of the earliest detected neoplasm’s in human beings. Present study comprises all those patients of cancer breast of all stages who attended the outdoor department and admitted in indoor wards of depa...
Histological Assessment of Clarias Gariepinus’ Liver and Kidney: An Ecotoxicological Evaluation of Commercial Fish Farm in Ogbogoro, Rivers State Nigeria
This study examined the ecotoxicological evaluation of commercial fish pond in Ogbogoro, Port Harcourt, Rivers State Nigeria using the histological assessment of Clarias gariepenus, using African Aquaculture Centre (ARAC...
A Study of Bio-Film Production and Antibiotic Sensitivity Pattern of Proteus Species Isolated From Pus and Urine Samples
Abstract: Proteus species is a member of the Enterobacterieceae family. It is identified as one of the etiological agents of hospital acquired infections. The expanding profile of antibiotic resistance among Proteus spec...
Evaluation of BMW Management and Effect of BMW Audit on NSI Rate
Abstract: In a hospital, biomedical waste (BMW) waste management is of utmost importance, as improper disposal can lead to increased chances of needlestick injury (NSI). The proper management starts at the point of segre...
Comparison of Impact of Original Reagents vs Third Party Hematology Reagents on Patient Reports
Analysis of patient’s blood samples and providing accurate result is very important for a medical laboratory. It has been observed that now a day’s many third-partyreagent manufacturers have started providing reagents in...