CLINICAL STUDY OF PERFORATIONS OF SMALL BOWEL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 60
Abstract
BACKGROUND Small intestinal perforation is a common abdominal emergency and still have a significant mortality and morbidity. Aim of our study was as follows - 1. To study the possible risk factors for perforations of small intestine and postoperative complications. 2. To compare the morbidity and mortality associated with different parts of small bowel. METHODS Patients who presented to Surgical Outpatient Department, Mandya Institute of Medical Sciences, Mandya, with history of pain abdomen on clinical examination and investigations, confirmed case of hollow viscous perforation were subjected to exploratory laparotomy after resuscitation. Intraoperatively confirmed cases of small bowel perforation were included in this study. Study period: Oct. 2012 - Sep. 2015. RESULTS A total number of 49 cases of small bowel perforation admitted in this study period. Out of these 31 cases are of duodenal perforations, 18 cases of ileal perforation. In our study, male outnumbered the female in ratio of 11.2:1. Duodenal ulcer perforation was commonest type of small intestinal perforation found in most of the patients. Pain abdomen and vomiting found in most of the patients. Commonest cause of small intestine perforation was peptic ulcer and typhoid. Ileal perforation has got more mortality and morbidity than duodenal perforation. CONCLUSION In our study, youngest age of small intestine perforation was 14 years and oldest was 70 years. Main presenting complaint was pain abdomen, vomiting, fever and distension of abdomen. Erect abdomen X-ray showed gas under diaphragm in all cases. Postoperative complications are more in ileal perforation than DU perforation. Mortality was more in ileal perforation due to late presentation, malnutrition, anaemia and more interval between perforation and operation. Risk factors for perforations were smoking, tobacco, alcohol and NSAID’S
Authors and Affiliations
Gopalakrishna
Keywords
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- EP ID EP123368
- DOI 10.14260/jemds/2016/949
- Views 109
- Downloads 0
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