Cargando…
Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study
BACKGROUND: The purpose of this study is to estimate disease burden, clinical features, and outcome in the emergency surgical management of peptic perforation in a rural government tertiary care center where patients are socioeconomically very poor and also impacted by lack of good quality health-ca...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040944/ https://www.ncbi.nlm.nih.gov/pubmed/33888930 http://dx.doi.org/10.4103/nmj.NMJ_191_20 |
_version_ | 1783677864479031296 |
---|---|
author | Sengupta, Tamal Kanti Prakash, Gautam Ray, Saugata Kar, Manoranjan |
author_facet | Sengupta, Tamal Kanti Prakash, Gautam Ray, Saugata Kar, Manoranjan |
author_sort | Sengupta, Tamal Kanti |
collection | PubMed |
description | BACKGROUND: The purpose of this study is to estimate disease burden, clinical features, and outcome in the emergency surgical management of peptic perforation in a rural government tertiary care center where patients are socioeconomically very poor and also impacted by lack of good quality health-care facility. MATERIALS AND METHODS: The study had retrospectively analyzed 121 patients with peptic perforation who had undergone emergency laparotomy at Midnapore medical college, West Bengal, India, from June 2018 to December 2019. All patients >12 years were included in this study. Exclusion criteria were other traumatic and nontraumatic gastrointestinal perforations. RESULTS: The study population had 112 males and 9 females with a mean age of 44.80 ± 15.29 years and maximum incidence in the 6(th) decade (P = 0.001). Smoking and alcohol were associated with 54.5% and 49.6%, respectively. The symptoms were pain abdomen (100%) with vomiting (38.8%) and fever (33.9%). The signs of hypotension, peritonitis, distension, and pneumoperitoneum were observed in 34.7%, 64.5%, 39.7%, and 83.5%, respectively. Only 20.7% of patients were admitted within the first 24 h. The mean duration of symptoms was 2.3 days. Most perforations were located on the duodenum (74.4%) with duodenal to gastric perforation ratio 2.9:1. The mean size was 1.02 cm. Chest infection (19%) was the most common complication. The mortality rate was 9.1%. The mean length of hospital stay was 11.1 days. CONCLUSION: Peptic perforation remains a major disease burden in our environment predominantly due to late presentation, leading to high morbidity and mortality. |
format | Online Article Text |
id | pubmed-8040944 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-80409442021-04-21 Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study Sengupta, Tamal Kanti Prakash, Gautam Ray, Saugata Kar, Manoranjan Niger Med J Original Article BACKGROUND: The purpose of this study is to estimate disease burden, clinical features, and outcome in the emergency surgical management of peptic perforation in a rural government tertiary care center where patients are socioeconomically very poor and also impacted by lack of good quality health-care facility. MATERIALS AND METHODS: The study had retrospectively analyzed 121 patients with peptic perforation who had undergone emergency laparotomy at Midnapore medical college, West Bengal, India, from June 2018 to December 2019. All patients >12 years were included in this study. Exclusion criteria were other traumatic and nontraumatic gastrointestinal perforations. RESULTS: The study population had 112 males and 9 females with a mean age of 44.80 ± 15.29 years and maximum incidence in the 6(th) decade (P = 0.001). Smoking and alcohol were associated with 54.5% and 49.6%, respectively. The symptoms were pain abdomen (100%) with vomiting (38.8%) and fever (33.9%). The signs of hypotension, peritonitis, distension, and pneumoperitoneum were observed in 34.7%, 64.5%, 39.7%, and 83.5%, respectively. Only 20.7% of patients were admitted within the first 24 h. The mean duration of symptoms was 2.3 days. Most perforations were located on the duodenum (74.4%) with duodenal to gastric perforation ratio 2.9:1. The mean size was 1.02 cm. Chest infection (19%) was the most common complication. The mortality rate was 9.1%. The mean length of hospital stay was 11.1 days. CONCLUSION: Peptic perforation remains a major disease burden in our environment predominantly due to late presentation, leading to high morbidity and mortality. Wolters Kluwer - Medknow 2020 2020-12-19 /pmc/articles/PMC8040944/ /pubmed/33888930 http://dx.doi.org/10.4103/nmj.NMJ_191_20 Text en Copyright: © 2020 Nigerian Medical Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sengupta, Tamal Kanti Prakash, Gautam Ray, Saugata Kar, Manoranjan Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title | Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title_full | Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title_fullStr | Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title_full_unstemmed | Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title_short | Surgical Management of Peptic Perforation in a Tertiary Care Center: A Retrospective Study |
title_sort | surgical management of peptic perforation in a tertiary care center: a retrospective study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040944/ https://www.ncbi.nlm.nih.gov/pubmed/33888930 http://dx.doi.org/10.4103/nmj.NMJ_191_20 |
work_keys_str_mv | AT senguptatamalkanti surgicalmanagementofpepticperforationinatertiarycarecenteraretrospectivestudy AT prakashgautam surgicalmanagementofpepticperforationinatertiarycarecenteraretrospectivestudy AT raysaugata surgicalmanagementofpepticperforationinatertiarycarecenteraretrospectivestudy AT karmanoranjan surgicalmanagementofpepticperforationinatertiarycarecenteraretrospectivestudy |