STUDY OF VARIOUS CLINICAL PARAMETERS IN PEPTIC ULCER PERFORATION AND ITS RELATION WITH OUTCOME IN BUNDELKHAND REGION

Dr. Surya Prakash, Dr. Rajkumar Rajpoot, Adeel Ahmad

Abstract


Background: In our study we aimed to provide a complete epidemiological, clinical and management
description of Peptic ulcer Perforation in all age group patients
Materials and Methods: This study has been based on analysis 50 cases of peptic ulcer perforation (gastric and peptic)
admitted in Department of Surgery, M.L.B. Medical College, Jhansi from December 2017 to August 2019. Results: All the patients
who were undergoing exploratory laparotomy followed by graham's omentum patch repair for peptic ulcer perforation were
taken. A detailed history, thorough clinical examination and necessary routine blood investigations and X-ray chest - standing
position were performed in each case.
Conclusion: Peptic ulcer perforation shows increasing incidence in young adult males. The increased incidence shows
association to smoking, alcoholism, irregular food habits, use of NSAIDS/steroids and overall stressed lifestyle.


Keywords


Peptic ulcer, Perforation, Laparoscopy, Surgery, Outcome

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References


Khuroo MS, Mahajan R, Zargar SA, Javid G, Munshi S. Prevalance of peptic ulcer in India: An endoscopic and epidemiological study in urban Kashmir. GUT. 1989; 30:930–4. https://doi.org/10.1136/gut.30.7.930 PMid:2788113 PMCid:PMC1434311.

Baron JH. Peptic ulcer. The Mount Sinai Journal of Medicine. 2000; 67(1):58–62. PMid:10677783.

Sawyer PR, Brogden RN, Pinder RM, Speight TM, Avery GS. Tinidazole: a review of its antiprotozoal activity and therapeutic efficacy. Drugs. 1976;11(6):423-40. PubMed PMID: 954609.

Ananthakrishnan AN, Khalili H, Pan A, Higuchi LM, de Silva P, Richter JM, Fuchs CS, Chan AT. Association between depressive symptoms and incidence of Crohn's disease and ulcerative colitis: results from the Nurses' Health Study. Clin Gastroenterol Hepatol. 2013 Jan;11(1):57-62. doi: 10.1016/j.cgh.2012.08.032. Epub 2012 Aug 31. PubMed PMID: 22944733; PubMed Central PMCID: PMC3587728.

Avijeet Mukherjee, Debashis Mondal.A randomized comparative study between omentopexy and omental plugging in treatment of duodenal perforation.International Surgery Journal Mondal D et al. Int Surg J. 2

Andrew H. Soll MD David Y. Graham MD.Peptic Ulcer Disease.First published: 14 November 2008.https://doi.org/10.1002/9781444303254.ch40.

Tsugawa K, Koyanagi N, Hashizume M, Tomikawa M, Akahoshi K, Ayukawa K, Wada H, Tanoue K, Sugimachi K. The therapeutic strategies in performing emergency surgery for gastroduodenal ulcer perforation in 130 patients over 70 years of age. Hepatogastroenterology. 2001 Jan-Feb;48(37):156-62.

Boey J, Lee NW, Koo J, Lam PH, Wong J, Ong GB. Immediate definitive surgery for perforated duodenal ulcers: a prospective controlled trial. Ann Surg. 1982 Sep;196(3):338-44.

Kuldeep M, Barkesiya B.L, Barolia D, Kuldeep P. A prospective study of clinical profile, management and outcome of surgical treatment of perforated peptic ulcer in northern India: a tertiary hospital experience. Int J Med Res Rev 2015;3(10):1140-1145. doi: 10.17511/ijmrr.2015.i10.206.

Bharati C Ramesh et al: Immediate definitive surgery in perforated duodenal ulcer: A comparative study, between surgery and simple closure. Indian J. Surg,1996;257-279.


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