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Clinical study of 104 cases of hollow viscus perforation with peritonititis in gastric and duodenal perforation at rural tertiary centre

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Original Article

Author Details : Pranjal Tanter*, Pratik Gond, Shreya Pakkal, Manideep Thippaarapu, Kundankumar N Dandekar

Volume : 5, Issue : 3, Year : 2023

Article Page : 83-87

https://doi.org/10.18231/j.jsas.2023.019

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Abstract

Background: Acute abdomen with peptic ulcer perforation is a common cause of emergency admission and surgery. This is the study that documents the presentation and outcome of perforation management in DBVPRMC, Loni.
Materials and Methods: This is a prospective study of patients operated upon for perforation peritonitis between March 1, 2021, and March 23, 2023. A structured recorded after questionnaire containing patients demographics, operative findings, and outcome was discharge or death.
Results: There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 18 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham’s Omentopexy. Death rate was 17.3%.
Conclusion: We note that gastric perforation is a more commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify spicy food, alcoholism and NSAIDs intake amongst patient as a risk factor for perforation. Early presentation is associated with good prognosis.

Keywords: Gastric perforation, Duodenal perforation, Grahm's patch repair, Peritonitis, Hollow viscus perforation Introduction, Peritonitis, Hollow viscus perforation

How to cite : Tanter P, Gond P, Pakkal S, Thippaarapu M, Dandekar K N, Clinical study of 104 cases of hollow viscus perforation with peritonititis in gastric and duodenal perforation at rural tertiary centre. IP J Surg Allied Sci 2023;5(3):83-87

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