scholarly journals The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation

2013 ◽  
Author(s):  
Sushama Surapaneni
Keyword(s):  
Peptic Ulcer ◽  
Operation Time ◽  
Time Interval ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation

scholarly journals Laparoscopic Repair of Peptic Ulcer Perforation - Our Initial Experience

2014 ◽  
Vol 1 (2) ◽  
pp. 153-157
Author(s):  
Md. Saiful Hoque ◽  
Gazi Mohammad Zakir Hossain ◽  
Nur Hossain Bhuiyan ◽  
Md. Rashedul Hasan ◽  
Mayin Uddin Mahmud ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Laparoscopic Repair ◽  
Operation Time ◽  
Perforated Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Related Complication ◽  
Ulcer Perforation ◽  
Delayed Recovery ◽  
Duodenal Ulcer Perforation

Background: Laparoscopic repair of perforated peptic ulcer was reported in 1990 but has not gained wide acceptance. The aim of this study was to evaluate the safety and efficacy of laparoscopic repair in routine clinical practice.Methods: This was a prospective analysis of 30 patients who underwent laparoscopic repair of a perforated peptic ulcer between July 2009 and June2010.Results: Thirty patients of mean age 45 (range 25-52) years had perforated ulcer diagnosed by clinical examination and x-ray abdomen and confirmed by laparoscopy. 28 was duodenal ulcer perforation and rest 2 was gastric ulcer perforation. Only 3 patients required conversion to laparotomy out of them 2 were DU perforation and one was gastric ulcer perforation. Mean operation time was 75 (range 75-150) minutes. Mean postoperative hospital stay was 6 (5-10) days. Postoperative convalescences were good. There was no operation related complication but one patient needs transfer to ICU for delayed recovery and the patient eventually recovered well. Post-operative leakage occurred in one patient and that was treated by laparotomy. One of 3 conversion cases developed wound infection but wound related complications in laparoscopic cases were very negligibe.Conclusion: Laparoscopic repair is a safe and effective procedure for repair of perforated peptic ulcer.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19535

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

Rhythmic Patterns in Incidence of Peptic Ulcer Perforation Over 5.5 Decades in Norway

1998 ◽  
Vol 15 (3) ◽  
pp. 241-264 ◽  
Author(s):  
Cecilie Svanes ◽  
Robert B. Sothern ◽  
Halfdan Sørbye
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation

scholarly journals Effect of fasting on peptic ulcer perforation

2018 ◽  
Vol 27 (1) ◽  
pp. 4-9
Author(s):  
B Islam ◽  
A Sayed ◽  
I Ahmed ◽  
MA Hannan ◽  
MA Alam
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Socioeconomic Condition ◽  
Ramadan Fasting ◽  
Ulcer Perforation ◽  
The Relationship

Background: Peptic ulcer perforation is a common surgical problem in Bangladesh. For Muslims, the whole of the Ramadan is a time of strictly fasting during day time. Globally near one billion Muslims fast during this month. So it is an opportunity to evaluate the relationship between Ramadan fasting and peptic ulcer perforation. Present study was designed to evaluate the effect of fasting, socioeconomic condition, smoking and inadequate treatment of PUD on peptic ulcer perforation.TAJ 2014; 27(1): 4-9

scholarly journals Association of Helicobacter Pylori with Peptic Ulcer Perforation

2019 ◽  
Vol 2 (1) ◽  
pp. 4-10
Author(s):  
Sunit Agrawal ◽  
D Thakur ◽  
P Kafle ◽  
A Koirala ◽  
R K Sanjana ◽  
...  
Keyword(s):  
Risk Factors ◽  
Helicobacter Pylori ◽  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Perforated Peptic Ulcer ◽  
Patch Repair ◽  
Peptic Ulcer Perforation ◽  
Ulcer Disease ◽  
Ulcer Perforation ◽  
H Pylori

Background: Helicobacter pylori is found in more than 90% cases of peptic ulcer. This study examines the possibility of association of Helicobacter pylori in perforated peptic ulcer disease and its relation to persisting ulcer as well as the influence of other risk factors; namely: smoking, alcohol, current non-steroidal anti inflammatory drugs (NSAIDs) and steroid use. Materials and Methods: In this prospective study, total of 50 cases of peptic ulcer perforation admitted in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal were selected on the basis of the non-probability (purposive) sampling method. All patients who presented with suspected peptic ulcer perforation were included in the study and the perforations were repaired by Modified Graham’s Patch and were given triple therapy postoperatively. The age, sex, incidence, mode of presentation, precipitating factors, association with the risk factors and postoperative complications were all evaluated and compared. Results: Of 50 patients studied, the age ranged from 17 to 75 years, mean age being 40.1 years with the peak incidence in the 3rd and 5th decades of life showing a male dominance (92%). H. pylori was seen in ulcer edge biopsy in 29 patients (58%). Most common clinical presentation was pain abdomen, the most common signs of perforation were tenderness, rebound tenderness and absent bowel sounds. The mean duration of stay in hospital in H. pylori positive patients was 12.07±8.15 days as compared with 11.1±5.12 days in H. pylori negative patients. The incidence of peptic ulcer perforation was higher in the patients consuming alcohol (64%) than smokers (48%), followed by NSAIDs user(22%). 20% of the patients with delayed presentation developed complications postoperatively. Perforated peptic ulcer was repaired by Modified Graham’s Patch Repair, followed by anti H. pylori therapy in all of them. Conclusion: Peptic ulcer perforation is quite common among the patients with peptic ulcer disease with history of chronic smoking, alcoholism and analgesic intake, more commonly in males. There is association of H. pylori in 58% of patients with peptic ulcer perforation.

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