E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Recent trends in peptic perforation

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah.

Abstract
Introduction: The peptic perforation is one of the commonest abdominal surgical emergencies. Common causes are H.pylori, increased inadvertent use of NSAIDS, smoking and stress of modern life. During last few years there has been great revolution in availability of the newer broad spectrum antibiotics, better understanding of disease, effective resuscitation, prompt surgery under modern anaesthesia techniques, and intensive care unit resulted in reducing the mortality. Materials and methods: This prospective study was carried out in the department of surgery during period from 1st May 2009 to 30th November 2011. All were indoor patients with diagnosis of peptic perforation in stomach and/or duodenum excluding other sites. Each patient was study in detail with relevant clinical history, examination, laboratory investigations and management. The study comprised of total 50 patients operated for peptic perforation by various modalities. Results: the middle age group was commonest. Smoking, alcohol and stress were common etiological factors. The perforation was common in anterior surface of the first part of duodenum. Wound infection and bronchopneumonia were common post-operative complications. Discussion: The duration of perforation more than 24 hours and size of the perforation more than 1 cm has increase morbidity & mortality. Early diagnosis and prompt management of shock & septicaemia is important for better prognosis of patients. The simple closure with omentopexy of peptic perforation still remains the first choice as a treatment. H-pylori eradication treatment is mandatory after simple closure of the perforation to prevent recurrence of ulcer.

Key words: The peptic perforation, etiological factors, emergency surgeries, H-pylori treatment


 
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PMid:14978992

How to Cite this Article
Pubmed Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. Recent trends in peptic perforation. Int J Med Sci Public Health. 2013; 2(1): 110-112. doi:10.5455/ijmsph.2013.2.110-112


Web Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. Recent trends in peptic perforation. http://www.ijmsph.com/?mno=27638 [Access: December 17, 2018]. doi:10.5455/ijmsph.2013.2.110-112


AMA (American Medical Association) Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. Recent trends in peptic perforation. Int J Med Sci Public Health. 2013; 2(1): 110-112. doi:10.5455/ijmsph.2013.2.110-112



Vancouver/ICMJE Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. Recent trends in peptic perforation. Int J Med Sci Public Health. (2013), [cited December 17, 2018]; 2(1): 110-112. doi:10.5455/ijmsph.2013.2.110-112



Harvard Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah (2013) Recent trends in peptic perforation. Int J Med Sci Public Health, 2 (1), 110-112. doi:10.5455/ijmsph.2013.2.110-112



Turabian Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. 2013. Recent trends in peptic perforation. International Journal of Medical Science and Public Health, 2 (1), 110-112. doi:10.5455/ijmsph.2013.2.110-112



Chicago Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. "Recent trends in peptic perforation." International Journal of Medical Science and Public Health 2 (2013), 110-112. doi:10.5455/ijmsph.2013.2.110-112



MLA (The Modern Language Association) Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah. "Recent trends in peptic perforation." International Journal of Medical Science and Public Health 2.1 (2013), 110-112. Print. doi:10.5455/ijmsph.2013.2.110-112



APA (American Psychological Association) Style

Hiren D Parmar, Moolchand Prajapati, Rashmikant Shah (2013) Recent trends in peptic perforation. International Journal of Medical Science and Public Health, 2 (1), 110-112. doi:10.5455/ijmsph.2013.2.110-112





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