PROFILE OF PATIENT WITH GASTRO INTESTINAL PERFORATION: A TERTIARY CARE CENTER STUDY

Lalit Choudhary; Ashish Jaiswal; S R Kala; Pankaj K Verma

Volume : VIII, Issue : I, January - 2019

PROFILE OF PATIENT WITH GASTRO INTESTINAL PERFORATION: A TERTIARY CARE CENTER STUDY

Lalit Choudhary, Ashish Jaiswal, S R Kala, Pankaj K Verma

Abstract :

Background: Gastro intestinal perforation peritonitis is a common surgical emergency with a wide variety of clinical features and causes. Regional variations are common with regards to the cause of intestinal perforation, and need to be addressed. The objective of the study was to highlight the spectrum of perforation peritonitis encountered at our tertiary center. Methods: Our study was a descriptive retrospective analytic study. The data of patients who had surgical intervention for gastro intestinal perforation peritonitis in the general surgery department of Dr. Sushila Tiwari Govt. hospital attached to GMC Haldwani, between 2014 and 2016 was evaluated retrospectively. All data of patients was collected which includes mainly information about age, additional morbidity and operative notes.Results: In our study most common site of perforation was ileum 35%, followed by gastric 27.5%, duodenum 20%, jejunum 5%, appendix 10% and colon 2.5%. Main causes included peptic ulcer 42.5%, typhoid 25% and few cases of trauma, tuberculosis, appendicitis and malignancy. Morbidity rate was 60.0% and mortality rate was 14.5%. Conclusions: Commonest site of perforation was gastro–duodenal while commonest cause was peptic ulcer disease.Morbidity and mortality was comparable with other studies