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Indian Journal of Clinical Anatomy and Physiology


Study of various clinical parameters in peptic ulcer perforation and its relation with outcome


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Author Details: Rajkumar, Anand Jaiswal, Puneet SR

Volume : 4

Issue : 2

Online ISSN : 2394-2126

Print ISSN : 2394-2118

Article First Page : 270

Article End Page : 272


Abstract

Introduction: To evaluate the age and sex incidence, associated clinical history, risk factor involved, time of surgical intervention done after the onset of illness, postoperative complication, total duration of hospital stay, mortality and its relation with outcome of the patient.
Materials and Method: This study has been based on analysis 100 cases of peptic ulcer perforation (gastric and duodenal) admitted in M.L.B. Medical College, Jhansi from March 2014 to December 2015. The cases were collected at random, which were admitted in emergency and treated in various surgical units. After admission a detailed history was taken and clinical examination was done and possible immediate investigations were done. All 100 cases admitted, and were subjected to emergency laprotomy. At the time of laprotomy, the site of perforation, size of perforation, nature of peritoneal fluid, peritoneal fluid culture and amount of peritoneal contamination were determined. All cases have been treated by simple closure with grahm omental patch repair.
Summary and Conclusion: Peptic ulcer perforation (Acid peptic disease) is one of the common acute abdominal emergencies, The peak incidence was between 41-50 years age groups, Smoking and NSAIDS was commonest risk factor for peptic ulcer perforation. In most of the patients operative time was 1-2 hrs. Most patients have bilious intraperitoneal fluid and culture was sterile. Outcome was good in most of the post- op cases who have no complication and discharge satisfactorily from hospital within 8-10 days of normal hospital stay.