scholarly journals Outcome of surgeries for non-traumatic hollow viscous perforations

2018 ◽  
Vol 5 (8) ◽  
pp. 2888
Author(s):  
Hota P. K. ◽  
Mahesh S. V. ◽  
Reddy Dilip Kumar
Keyword(s):  
Peptic Ulcer ◽  
Operative Procedure ◽  
Gastrointestinal Perforation ◽  
Treatment Modalities ◽  
Peptic Ulcer Perforation ◽  
Simple Closure ◽  
Omental Patch ◽  
Ulcer Perforation ◽  
Operative Findings ◽  
Physical Findings

Background: Patients with non-traumatic hollow viscous perforations present challenge to the surgeons and outcome depends upon location and surgeon skills. Present study was to investigate the outcome of surgeries for non-traumatic hollow viscous perforations.Methods: This is a prospective observational study carried out in surgical wards in Mamata General Hospital between October 2015 and September 2017 over a period of 02 years. Evaluation of all the patients fulfilling the inclusion and exclusion criteria with respect to history, physical findings, operative findings and postoperative complications in line with the predetermined objectives was done. Various treatment modalities available and their outcome were also evaluated.Results: Benign causes of gastrointestinal perforation constituted majority of non-traumatic gastrointestinal perforations. Peptic ulcer perforation (68%) was the major cause of gastrointestinal perforation. Most common site for non-traumatic gastrointestinal perforations was duodenum (48%). Simple closure with omental patch was the operative procedure done for all cases of peptic ulcer perforation and appendicectomy for appendicular perforation. Ileal perforations secondary to typhoid perforation were treated with resection and end-to-end anastomoses in the present study. Colonic perforation was managed with Hartmann’s procedure. Most common complication was SSI (34%). Mortality was 8% and was due to septicemia.Conclusions: Aggressive resuscitation and early meticulous surgery is required to decrease morbidity and mortality in hollow viscous perforation cases. 

POMPP Score: Evaluation of Mortality and Morbidity in Patients with Secondary Peritonitis

2018 ◽  
Vol 3 (04) ◽  
Author(s):  
Shergill J. S. ◽  
Sharma S. ◽  
Kaur R. ◽  
Sunkaria B. L
Keyword(s):  
Peptic Ulcer ◽  
Perforated Peptic Ulcer ◽  
Exploratory Laparotomy ◽  
Gastrointestinal Perforation ◽  
Predictive Score ◽  
Peptic Ulcer Perforation ◽  
Mortality And Morbidity ◽  
Ulcer Perforation ◽  
Tract Perforation ◽  
Time Of Admission

Background: Gastrointestinal tract perforation is one of the common surgical emergency all over the world. Menekse et al devised POMPP score (predictive score of mortality in perforated peptic ulcer) to predict the morbidity and mortality in peptic ulcer perforation. Aim: The objective of this study was to assess the validity of POMPP score in peptic ulcer perforation and to assess its usefulness in gastrointestinal perforation due to causes other than the peptic ulcer. Methods: Fifty consecutive cases, who had undergone exploratory laparotomy for gastrointestinal perforation peritonitis, were included in the study. “These patients were assessed at the time of admission on the basis of Age >65 years, BUN >45mg/dl (Blood Urea Nitrogen) and Albumin <1.5g/L and a score of 1 point each had been given”. The total score was compared with the outcome of the disease in relation with mortality. Results: In our study, 42% of gastrointestinal perforation were due to peptic ulcer, 22 % due to small bowel perforations (18% Ileal and 4 % Jejunal), 14 % due to trauma and 22 % due to miscellaneous causes. Morbidity is common after gastrointestinal perforation and it ranges from 17-63% whereas mortality ranges from 6-14%. Conclusions: POMPP score is easy and valid scoring system for peptic ulcer perforation. Early detection of high risk peptic perforation cases, allow other supportive treatment modality apart from surgery which can decrease the mortality. However, this score is not valid in perforation due to causes other than peptic ulcer.

scholarly journals Evaluation of mortality and morbidity in patients with secondary peritonitis using predictive score of mortality in perforated peptic ulcer

2017 ◽  
Vol 4 (8) ◽  
pp. 2706
Author(s):  
Navin Kumar ◽  
Shantanu Kumar Sahu ◽  
Karamjot Singh Bedi
Keyword(s):  
Peptic Ulcer ◽  
Perforated Peptic Ulcer ◽  
Exploratory Laparotomy ◽  
Gastrointestinal Perforation ◽  
Predictive Score ◽  
Peptic Ulcer Perforation ◽  
Mortality And Morbidity ◽  
Ulcer Perforation ◽  
Tract Perforation ◽  
Time Of Admission

Background: Gastrointestinal tract perforation is one of the common surgical emergency all over the world. Menekse et al devised POMPP score (predictive score of mortality in perforated peptic ulcer) to predict the morbidity and mortality in peptic ulcer perforation. The objective of this study was to assess the validity of POMPP score in peptic ulcer perforation and to assess its usefulness in gastrointestinal perforation due to causes other than the peptic ulcer.Methods: Fifty consecutive cases, who had undergone exploratory laparotomy for gastrointestinal perforation peritonitis, were included in the study. “These patients were assessed at the time of admission on the basis of Age >65 years, BUN >45mg/dl (Blood Urea Nitrogen) and Albumin <1.5g/L and a score of 1 point each had been given”. The total score was compared with the outcome of the disease in relation with mortality.Results: In our study, 42% of gastrointestinal perforation were due to peptic ulcer, 22 % due to small bowel perforations (18% Ileal and 4 % Jejunal), 14 % due to trauma and 22 % due to miscellaneous causes. Morbidity is common after gastrointestinal perforation and it ranges from 17-63% whereas mortality ranges from 6-14%.Conclusions: POMPP score is easy and valid scoring system for peptic ulcer perforation. Early detection of high risk peptic perforation cases, allow other supportive treatment modality apart from surgery which can decrease the mortality. However, this score is not valid in perforation due to causes other than peptic ulcer.

scholarly journals Endoscopic assessment and Helicobacter pylori status evaluation in operated cases of peptic ulcer perforation

2020 ◽  
Vol 7 (2) ◽  
pp. 535
Author(s):  
Prashant Rao ◽  
Sarika Mayekar ◽  
Vishwajit Pawar ◽  
Mohan Achyut Joshi
Keyword(s):  
Peptic Ulcer ◽  
Ulcer Healing ◽  
Eradication Therapy ◽  
Peptic Ulcer Perforation ◽  
Omental Patch ◽  
Ulcer Perforation ◽  
Reasonable Approach ◽  
Patch Closure ◽  
H Pylori ◽  
Endoscopic Assessment

Background: Helicobacter pylori’s role in delaying ulcer healing after surgical repair for peptic ulcer perforation causing ulcer persistence hasn’t been definitively established as it has been for uncomplicated ulcers.Methods: Authors performed an endoscopy and H. pylori status evaluation in 30 patients at an average of 6.2 weeks after simple omental patch closure for perforated peptic ulcer.Results: A positive H. pylori status was found in 12 patients (40%) of which 9 had active ulcers. None in the negative group had an active ulcer. H. pylori infection was the only factor found to be responsible for ulcer persistence after surgery.Conclusions: A reasonable approach would thus be to perform an endoscopy 6 weeks after surgery to assess ulcer healing and H. pylori status. H. pylori eradication therapy should then be selectively initialled for patients with an active ulcer or positive H. pylori status.

scholarly journals Spectrum of Perforation Peritonitis in a Rural Medical College

2016 ◽  
Vol 15 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Mohinder Kumar Malhotra ◽  
Rikki Singal ◽  
Kunal Chowdhary ◽  
Ram Gopal Sharma ◽  
Saurabh Sharma ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Medical Science ◽  
Major Complication ◽  
Morbidity And Mortality ◽  
Gallbladder Perforation ◽  
High Morbidity ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation ◽  
Perforation Peritonitis ◽  
Operative Findings

Aim: Perforation peritonitis is the most common surgical emergency encountered by surgeons in India. The etiology and sites of perforation shows wide geographical variation. The objective of the study was to find the spectrum of perforation peritonitis & highlight its management at Maharishi Markendeshwar Institute of Medical Sciences & Research, Mullana (MMIMSR).Methods: 93 Operated patients of perforation peritonitis were studied retrospectively in terms of clinical presentation, duration, operative findings and postoperative morbidity and mortality over a period of two years between 2011 to 2013 at MMIMSR Mullana. All the patients had undergone emergency laparatomy under general anesthesia and sites of perforation were identified & managed.Results: The most common cause of perforation peritonititis noticed in our series was peptic ulcer perforation 43 cases (46%), followed by ileal perforation 30 cases (32%), appendicular perforation 6 cases (6.4%), gallbladder perforation 5 cases (5.3%) and all the jejunal perforation 6cases (6.4%) was post traumatic. Large bowel and malignant perforation were least common in our series. Highest no. of perforation noticed in upper part of Gastro intestinal tract as compared to western countries where perforations are seen in distal parts. Mortality was of 11 cases (11.8%) & morbidity was noticed in 55 cases (59%).Conclusion: Peptic ulcer perforation peritonitis is the leading etiology. Mortality is comparable to that of best centre. Aggressive resuscitation and early minimum surgery are required to avoid the high morbidity and mortality. Major complication noticed was wound infection and dehiscence.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.70-73

scholarly journals Surgical treatment of perforated gastric ulcer

2002 ◽  
Vol 55 (11-12) ◽  
pp. 513-516 ◽  
Author(s):  
Milan Korica ◽  
Goran Petakovic ◽  
Sava Gavrilovic
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Postoperative Mortality ◽  
Perforated Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Simple Closure ◽  
Ulcer Disease ◽  
Ulcer Perforation

Introduction Peptic ulcer perforation is a complication of ulcer disease which requires urgent surgical treatment. The aim of this paper was to point out our experience in surgical treatment of perforated peptic ulcer. Material and methods This retrospective study analyzes results of surgical treatment in 365 patients with perforated peptic ulcer during the period January 1996 to December 2000. Results During the last 5-year period 365 patients were treated following peptic ulcer perforation. The average age was 43.53?8.26, with the span from 18 to 86. The most frequent surgical procedures in treatment of peptic ulcer perforation were: simple closure with biopsy (55.88%), excision of the ulcer with a pyloroplasty and vagotomy (35.29%) as nonresection surgical procedures and stomach resection after Billroth II (8.83%). The postoperative mortality was 4.41%. Conclusions The methods of choice in surgical treatment of gastric ulcer perforation are nonresection surgical procedures with drug therapy and eradication of Helicobacter pylori, if present.

Survival after peptic ulcer perforation: A time trend analysis

1996 ◽  
Vol 49 (12) ◽  
pp. 1363-1371 ◽  
Author(s):  
Cecilie Svanes ◽  
Rolv T. Lie ◽  
Stein A. Lie ◽  
Gunnar Kvåle ◽  
Knut Svanes ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Trend Analysis ◽  
Time Trend ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation

NSAIDS: A RISK FACTOR AFFECTING PEPTIC ULCER PERFORATION

2021 ◽  
pp. 9-9
Author(s):  
Neelkamal Gupta ◽  
Mangtani Jitendra K ◽  
Khandelwal Dheeraj K
Keyword(s):  
Peptic Ulcer ◽  
Statistical Correlation ◽  
Duodenal Perforation ◽  
Peptic Ulcer Perforation ◽  
Muscularis Mucosa ◽  
Time Duration ◽  
Ulcer Perforation ◽  
Medical College ◽  
Life Threatening ◽  
Gandhi Medical College

INTRODUCTION:Apeptic ulcer is a defect in the upper gastrointestinal mucosa that extends through the muscularis mucosa into deeper layers of the gut wall. Non-steroidal anti-inammatory drugs (NSAIDs) are the major risk factors for peptic ulcer disease.Long-term use of NSAIDs, however, can cause gastrointestinal (GI) ulcers and potentially life-threatening ulcer complications. MATERIALAND METHOD: The present study was conducted on 100 patients of peptic ulcer of either sex in Department of Surgery, Mahatma Gandhi Medical College & Hospital, Jaipur. History of any other co morbid illness and any drug being taken with its time duration were recorded in detail. RESULT AND DISCUSSION: From this study, it was observed that among the 69 patients of duodenal perforation, 73.91% were taking NSAID. Similarly among the 31 patients of gastric perforation 80.64% were taking NSAID. Overall total 76% patients were taking these drugs. CONCLUSION: It is concluded from this study that a strong statistical correlation was found between use of NSAIDs and peptic ulcer perforation.

Properative chest x-ray findings in peptic ulcer perforation

1981 ◽  
Vol 17 (3) ◽  
pp. 448
Author(s):  
T H Kim ◽  
S W Kim ◽  
J S Lim ◽  
Y J Kim
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
X Ray ◽  
Ulcer Perforation ◽  
Chest X Ray
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