Incidence of Duodenal Perforation in Relation to the Socioeconomic Status in a teritary Care Hospital at Karimnagar
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2018, Vol 16, Issue 2
Abstract
Background: Acute perforation of the duodenal ulcer produces one of the most dramatic pictures of acute abdominal catastrophe. The classical card board like rigidity, hypotension and its associated life threatening complications like sepsis and multi organ dysfunction syndrome are quite striking in most cases. The purpose of study was to corroborate with age and sex, socioeconomic status and addictions incidence in relation to duodenal perforation. Materials and Methods: Fifty patients admitted to emergency Department Chalmeda AnandRao Institute of Medical Sciences, Karimnagar during the period May 2011 to Oct 2013 with diagnosis of duodenal perforation with peritonitis participated in this study. Results: Majority of patients belong to the age group of 41-50 years and common in males. Most of the perforations are common in low socio-economic group and inpatients addicted to alcohol, smoking followed by NSAIDS and steroids. The open surgery, simple closure with Graham’s patch technique is the commonly done procedure with minimum complications. Conclusion: We concluded that the duodenal ulcer perforation is common in 5th decade, in males and related to heavy smoking, anxiety, chronic alcoholism, intake of NSAIDS and also long standing untreated duodenal ulcer. It is more common in patients belonging to Low socioeconomic status.
Authors and Affiliations
Venkata Reddy M, Sathish Kumar B, Suryanarayana Reddy V, Joopali Puneeth
Keywords
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