A Prospective Study of Gastrointestinal perforations Leading to Acute Peritonitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction : Perforation is defined as an abnormal opening in any organ or viscous. Perforation of hollow viscous is one of the common surgical emergency in India ..Chronic alcoholism, Smoking, chronic use of Non steroid anti-inflammatory drugs (NSAIDS) are major risk factors for perforations Materials and methods : This study was hospital based prospective study conducted from September 2016 to January 2018. A total number of 171 cases were included in our study. The details of age, sex, anatomical location of perforation, signs and symptoms, complications and etiology were analyzed. Results: In our study, out of 171 patients, 133 were males (77.78%). 20 to 40 years of age group are most susceptible for perforation (47.37%). Gastro-duodenal perforation (48.54%) followed by appendicular (33.92%) perforation is the most common. Pain abdomen is universal symptom and tenderness is universal sign in our study (100%). Chronic alcoholism and peptic ulcer disease is most commonly associated with gastric and duodenal perforation. Delayed presentation >48 hours associated with co-morbidities are leading causes of septicemia and death. Conclusion: Early diagnosis along with appropriate preoperative management followed by the required surgical procedure decides the outcome of patients. As and when post operative complications arise they should be treated with utmost care
Authors and Affiliations
Dr. Ramesh Kumar Korumilli, Dr. Jakkula Srikanth, Dr . Muvva Sri Harsha, Dr. Md Raheemuddinkhan, Dr. Kanmathareddy Amulya
Keywords
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- EP ID EP380832
- DOI 10.9790/0853-1708035157.
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