Demographic, Clinico-Pathological Study And Management of Peptic Ulcer Perforation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Introduction: Peptic ulcer disease (PUD) is a worldwide health problem because of its high morbidity, mortality and monetary loss. The incidence of uncomplicated peptic ulcer disease has lowered dramatically due to usage of proton pump inhibitors and H2 receptor antagonists. Complicated peptic ulcer disease is still a concern all over the world and perforation is the most common complication followed by bleeding. Material and Methods: This is a retrospective/prospective study of 60 cases of peptic ulcer perforation carried out in MediCiti institute of Medical science, from July 2012 to September 2017. Out of 60 peptic ulcer perforations, 51(85%) were males and 9 (15%) were female showing strong male predominance with male: female ratio 5.66:1. More number of cases observed in 5th decade followed by 3rd, 6th &7th decade. 45 patients (75%) had h/o alcohol consumption and 35 patients (58.33%) had smoking history. 15 patients (25%) had h/o peptic ulcer disease and10 patients (16.66) had h/o taking NSAIDs. All the cases presented with pain abdomen (100%) followed by vomiting (55%) and distension (33.33%). Gas under diaphragm was present in all the cases (100%). 1 st part of the duodenum was most common site of perforation followed by pre pyloric part of the stomach. Laporotomy and closure perforation was done by open methods with a mortality rate of 3.33%. The aim of our study is to share our experience to evaluate demographic values and risk factors for perforated peptic ulcer and to find out the mortality rate.
Authors and Affiliations
Dr. Vijaya lakshmi, M, Dr. Swaminadh P, Dr. Shekar Y Tati, Dr. Vasanth Rao Gattu, Dr. Avinash C, Dr. Thirupalaiah
Keywords
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- EP ID EP574839
- DOI 10.9790/0853-1701011016.
- Views 91
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