Comparative study on the incidence of gastric and duodenal perforation presenting at RIMS, Ranchi, Jharkhand
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Peptic perforations are one of the commonest complications of peptic ulcer disease. They constitute a vast majority of acute abdomen presenting in surgical emergencies. It is indeed one of the most dreadful catastrophes of peptic ulcer. Out of all the complications of peptic ulcer, acute perforation appears to be the commonest in our country. This was a prospective study of patients with peptic perforation admitted in The Department of Surgery, RIMS, Ranchi, Jharkhand, India during October 2015-October 2017. Peptic perforation is said to be common in 3rd, 4th, 5th decade of life, in males than females. It is very rare in children. Peptic ulcer disease constitutes of Gastric ulcer and Duodenal ulcer. These are considered as a single entity but when looked upon individually, both have different identity. Most of the feature are common but variations are present. Despite recent improvements in the management of peptic ulcers and its perforations, duodenal perforation and gastric perforations carries a definite morbidity and mortality rates which vary from 3%-10% as determined by different workers. The recent contradictory reports in the current world literature regarding incidence of gastric and duodenal perforations, incidence of age, male female ratio, types of managements, rare causes and factors influencing the outcome has drawn the attention towards the need for this study. Most of the patients had duodenal perforation and were males. The mortality was high in gastric perforation (23.4%). On basis pf histopathological report all the duodenal perforations were due to acute inflammatory lesions but in gastric perforation 8.51% were due to adenocarcinoma and 10.64% were due to fungal elements (Candida albicans).
Authors and Affiliations
Dr. Asim Augustine Minj
Keywords
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