Title: Pattern of Peptic Perforation at VSS IMSAR, Burla- Retrospective Study of 100 Cases
Authors: Dr Banabihari Mishra, Dr Bhupesh Kumar Nayak, Dr Kishan Bhoi
DOI: https://dx.doi.org/10.18535/jmscr/v4i10.73
Acute peptic perforation may occur in gastric & duodenal ulcers. Proton pump inhibitors, H2 blockers, H pylori eradication therapy has still not slowed down the incidence of Acute peptic perforation. In emergency gastric surgery, Acute peptic perforation is still the most common emergency surgery associated with high mortality & morbidity. In emergency acute peptic perforation were diagnosed by the gas under diaphragm in x-ray abdomen in straight erect posture & obliteration of liver dullness. The main surgical treatment was simple closure with grahams patch. Data was collected on various variables such as age group, sex, blood group ,seasonal occurrence ,dietary habits, drug history, lifestyle history, prior diagnosis to surgery, findings on admission/per operative findings, methods of operation, complications. A clinical pattern of peptic perforation was carried out at emergency of the department of general & laparoscopic, surgery, VSSIMSAR, Burla, Odisha between 2012 & 2016 july. 1. MICHELET I., AGRESTA F. Perforated peptic ulcer : laproscopic approach. Eur J Surg, 166 : 405-8. 2. NAESGAARD J. M., EDWIN B., REFIERTSEN O., TRONDSEN E., PAERDEN A. E., ROSSELAND A. R. Laparoscopic and open operation in patients with perforated peptic ulcer. Eur J Surg, 1999, 165 : 209-14. 3. LORAND I., MOLINER N., SALES J. P., DOUCHEZ F., GAYRAL F. Resultats du traitement coelioscopique des ulceres perfores. Chirugie, 1999, 124 : 149-53. 4. MOURET P., FRANCOIS Y., VIGNAL J., BARTH X., LOMBARD-PLATET R. Laparoscopic treatment of perforated peptic ulcer. Br J Surg, 1990, 77 : 1006. 5. LEE F. Y.J., LEUNG K. L., LAI B. S.P., MAN NG S.S., DEXSTER S., LAU W.Y. Predicting mortality and morbidity of patients operated on for perforated peptic ulcers. Arch Surg, Arch Surg, 2001, 136 : 90-3. 6. LAU W.Y., LEUNG K. L., ZHU X. L., LAM Y.H., CHUNG S.C.S., LI A.K.C. Laparoscopic repair of perforated peptic ulcer. Br J Surg, 1995, 82: 814-16. 7. BERGAMASHI R., MARVIK R., JOHNSEN G., THORESEN J. E.K., YSTGAARD B., MYRVOLD H.E. Open vs laparoscopic repair of perforated peptic ulcer. Surg Endoscope, 1999, 13: 679-82. 8. SVANES C., SALVESEN H., STANGELAND L., SVANES K., SOREIDE O. Perforated peptic ulcer over 56 years. Time trends in patients and disease characteristics. Gut, 1993, 34: 1666-71. 9. CHEN C.H., HUANG H.S., YANG C.C., YEH Y.H. The features of perforated peptic ulcers in conventional computed tomography. Hepatogastro-enterology, 2001, 48: 1393-96. 10. BLEOCHLE C., EMMERMANN A., TREU H., ACHILLES E., MACK D., ZORING C., BROELSCH C.E. The effect of a pneumoperitoneum on the extent and severity of peritonitis induced by gastric ulcer perforation in the rat. Surg Endose, 1995, 9 : 898-901.Abstract
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