Volume : VIII, Issue : III, March - 2018

Clinical study of perforation peritonitis at Tertiary Hospital in Western U.P.

Dr. Ankur Singh, Dr. S. C. Sharma, Dr. S. P. Sinha

Abstract :

 

INTRODUCTION

Gastrointestinal perforation particularly upper part, constitute the commonest cause of emergencies not only in India but throughout the world , leading to sizable number of morbidity and mortality.

 

MATERIAL AND METHOD

Prospective analysis of 615 patients (n=615) in Teerthanker Mahaveer Medical College and Research center was done between July 2013 to December 2016 All cases of GI perforation with peritonitis were included in this study. Exclusion criteria being perforation secondary to trauma, corrosive and post operative peritonitis due to leakage. After confirming the clinical diagnosis of perforation peritonitis and adequate resuscitation patient were prepared for surgery and 96% of them underwent exploratory laparotomy. After identification, assessing the perforation and condition of patient, appropriate procedure like primary closure, ileostomy, resection with end to end anastomosis etc. were performed, a complete post operative care was given to all patients . Post operative complications if any were noted.

 

RESULT

Maximum patient were of age between 35–45 years, predominantly males with a M:F ratio of 3:1, main complaint was pain abdomen with distention and tachycardia(97%) , 93% cases had gas under right dome of diaphragm. Out of all cases of perforation 62% were duodenal perforation whereas 18.3% were ileal.

 

CONCLUSION

In a tertiary set up of western U.P. of all GI perforation , peptic ulcer perforation (65%) has been found to be most common in contrast to the reports of eastern U.P. where enteric perforation were more common . Despite extensive use of PPI and other drugs, peptic ulcer perforation remains the major cause of morbidity. Delay in surgery because of late reporting to hospital is the most common factor affecting the morbidity and mortality along with advanced age and comorbidities.  

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Ankur Singh, Dr. S.C. Sharma, Dr. S.P. Sinha, Clinical study of perforation peritonitis at Tertiary Hospital in Western U.P., INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-3 | March-2018

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