Evaluation of clinical summary of patients suffering from duodenal perforation from Bihar region
Dr. Satyendra Kumar
When acute or chronic duodenal ulcer perforates into the peritoneal cavity, three components require treatment viz., the ulcer, the perforation and the resultant peritonitis. The perforation and resultant peritonitis are immediate threats to the life; the ulcer in itself is not. A successful outcome is obtained by prompt recognition of the diagnosis, aggressive resuscitation and early institution of surgical management. The aim of this study was to describe experience on the surgical management of perforated duodenal ulcer disease in our local environment outlining the incidence, clinical presentation, management and outcome of patients with peptic ulcer perforation in our setting. The present study was planned in the Department of General Surgery; Katihar Medical College. Total 25 patients diagnosed with the duodenal perforation were enrolled in the present study. The details of patients who presented from Dec 2011 to April 2012 were retrieved from patient registers kept in the Medical record departments, the surgical wards, and operating theatre & enrolled in the study after signing an informed written consent for the study. Surgery was defined as urgent less as 4 hours between admission and surgery, same day (4-24 hours) and delayed at a later time during the same admission. Duodenal ulcer perforation is one of the most common acute abdominal emergencies in our environment predominantly affecting young males. The peak incidence lies between 20-40 years of age and amongst peptic ulcer perforations duodenal ulcer perforation is the most Commonest of the two. Peptic ulcer perforations are more common in males. The outcome of the patient depends on the following factors Age of the patient, associated co-morbidities, Time interval between onset of acute abdominal pain and surgery, Condition of the patient at the time of surgery.
Dr. Satyendra Kumar. Evaluation of clinical summary of patients suffering from duodenal perforation from Bihar region. International Journal of Medical and Health Research, Volume 5, Issue 3, 2019, Pages 166-169