Title: A Clinical Study on Duodenal Perforation in Rural Medical College and Hospital
Authors: Dr Govindaraj.A, Dr Premkumar.T, Dr Anvar Ali.A, Dr Prema.M, Dr Ravisankar.P
DOI: https://dx.doi.org/10.18535/jmscr/v8i10.47
Abstract
Background: Duodenal perforation is one of the most common surgical emergency. An acute perforation is estimated to occur in 2% to 10% of patients with duodenal ulcer. Perforation is one of the important complication of duodenal ulcer. Duodenal perforation currently accounts for approximately 75% of peptic ulcer perforation. Of note, the mortality rate for perforated ulcer is high in elderly and after gastric than after duodenal perforation.(1)
Materials and Methods: The study was based on the analysis of patient admitted in Rajah Muthiah Medical College with duodenal perforation. On admission, all patient were initially resuscitated and complete history was taken and examination done followed by radiological investigation. All the findings were recorded; the information obtained was tabulated and analyzed.
Results: duodenal perforation is common in 51-60 years age group. Perforation is common in smokers and alcoholics. The overall mortality accounts to 2%. More common in male. “O” blood group patients had higher incidence of perforation. perforation is common in low socioeconomic group. Surgical site infection was the most common postoperative complication.
Conclusion: peptic ulcer perforation is due to persistence of causative factor like alcoholism, smoking, injudicious use of NSAID, malnourishment. Incidence of perforation was more in male due to chronic alcoholism and smoking. Even in laparoscopic era, laparotomy with perforation closure is most commonly done procedure.
Keywords: Duodenal perforation, observational study
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