Factors affecting mortality in patients who underwent primary suture repair for peptic ulcer perforation

Introduction: Peptic ulcer is a sore in the lining of stomach or the rst part of the duodenum. Peptic ulcer perforation with subsequent peritonitis is commonest complication of peptic ulcer disease and is a surgical emergency. It carries with it great morbidity and mortality. AIMS: To study the risk factors associated with peptic ulcer perforation in our setting. Objectives: To Assess the role of various risk factors like age, sex, previous use of NSAIDS, Smoking & other associated illness. To study the risk factors that affect operative outcome in peptic perforation peritonitis. Materials & Methods: All patients of peptic ulcer with perforation peritonitis on laparotomy are included in the study.Patients with peptic ulcer Perforation of age > 14 years. Results: Duodenal perforations were present In 69 cases out of 100 cases (69%). Gastric perforation was present in 31 cases (31%). In gastric cases 30 perforations were present on lesser curvature and pyloric Antrum and one perforation was present on posterior wall of stomach. Discussion: Present clinical study of peptic perforation has been carried out to nd out various risk factor associated with It's occurrence, investigation, clinical picture, preoperative ndings and post operative outcome and recurrence of perforation after taking Anti H. pylori regime was observed. Conclusion:In my study that H.pylori infection, smoking, use of NSAID's is signicant risk factor on peptic perforation

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FACTORS AFFECTING MORTALITY AND MORBIDITY OF PEPTIC ULCER PERFORATION

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2017/734 ◽

2017 ◽

Vol 6 (43) ◽

pp. 3390-3394

Author(s):

Sudhir Suresh Bhat ◽

Avinash Patil

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Perforation ◽

Mortality And Morbidity ◽

Factors Affecting ◽

Ulcer Perforation

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A clinical study of factors affecting the prognosis in duodenal ulcer perforation cases in tertiary care hospital, Kanchipuram district

International Surgery Journal ◽

10.18203/2349-2902.isj20195214 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4290

Author(s):

Dhinesh Babu K. ◽

M. Bhaskar

Keyword(s):

Duodenal Ulcer ◽

Peptic Ulcer ◽

Tertiary Care ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Chronic Alcoholic ◽

Factors Affecting ◽

Ulcer Disease ◽

Ulcer Perforation ◽

Duodenal Ulcer Perforation

Background: Peptic ulcer disease is an erosion of the lining of the stomach or duodenum. It is associated with potentially life-threatening complications such as bleeding, perforation and obstruction. The main predisposing factors for peptic ulcer perforation are smoking, use of non-steroidal anti-inflammatory drugs (NSAIDs), chronic stress, Helicobacter pylori infection, and age >60 years. In recent years, with introduction of proton pump inhibitors and increased knowledge of duodenal ulcer perforation (DUP) has decreased the incidence of DUP.Methods: 50 patients with DUP were studied prospectively with respect to age, gender, use of NSAIDs, morbidity, mortality and complications.Results: Out of 50 patients, the mean age of incidence DUP was 46 yrs, which is more common in males. And also 48% patients were chronic alcoholic and 52% patients were chronic smokers. Moreover, 14% patients were chronic NSAIDs users.Conclusions: Factors such as age, gender, use of NSAID, Alcohol and smoking affects the life expectancy of the patients, which leads to morbidity and mortality.

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Preoperative and intraoperative factors affecting mortality in patients operated on for peptic ulcer perforation: a single center retrospective study

Journal of Health Sciences and Medicine ◽

10.32322/jhsm.907093 ◽

2021 ◽

Vol 4 (3) ◽

pp. 344-348

Author(s):

Abdullah ŞENLİKCİ ◽

Koray KOŞMAZ ◽

Abdullah DURHAN ◽

Ümit MERCAN ◽

Marlen SÜLEYMAN

Keyword(s):

Peptic Ulcer ◽

Retrospective Study ◽

Peptic Ulcer Perforation ◽

Single Center ◽

Factors Affecting ◽

Ulcer Perforation

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Factors affecting In-patient stay in patients operated for peptic ulcer perforation.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.10.4122 ◽

2020 ◽

Vol 27 (10) ◽

pp. 2076-2080

Author(s):

Talha Kareem ◽

Ali Rabbani ◽

Sana Ahmad Khan ◽

Muhammad Hamid Chaudhary ◽

Muhammad Farrukh Aftab ◽

...

Keyword(s):

Risk Factors ◽

Peptic Ulcer ◽

Hospital Stay ◽

Cross Sectional Study ◽

Pulmonary Complications ◽

Peptic Ulcer Perforation ◽

Cross Sectional ◽

Factors Affecting ◽

Ulcer Perforation ◽

Patient Stay

Objectives: Recognizing the risk factors affecting the in-hospital stay of the patients operated for peptic ulcer perforation. Study Design: Cross Sectional study. Setting: General Surgical Wards, Nishtar Hospital Multan. Period: From 15th November 2018 to 5th of March 2019. Material & Methods: A total of 100 patients of all ages who had a peptic ulcer perforation were included. Patients with a perforation that wasn't attributable to a peptic ulcer e.g. malignancy or gastrinoma were excluded. Patients were asked about their smoking and drinking habits. Data was collected about various risk factors of peptic ulcer, their co-morbidities and the medications. Results: Gender, smoking, alcohol intake, H-pylori infection, size & site of perforation did not have a significant effect on hospital stay days. In patient stay days differed in groups based on comorbidities and medication. A weak correlation was found among age and stay days. Conclusion: Patients with complain of COPD and other pulmonary complications have a longer hospital stay in the hospital. The association of arthritis and hypertension could not be demonstrated comprehensively.

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