A Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central India

Jahagirdaar, Deepa; Bomanwar, Nitin; Joshi, Sneha

doi:10.5005/jp-journals-10018-1306

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…All the patients in our study generally describe a sudden and severe epigastric pain on admission, this pain being localized early on and then spreading rapidly to the abdomen 19 . In a study by Lau et al; showed that patients usually present with severe, sudden upper abdominal pain that is localized initially and then spreading rapidly [20][21] In this study, death occurred in 13 patients which was quite an acceptable mortality rate compared to other literature data 22 . Most of the patients died in the first week after surgery, on average after 4 days.…”

Section: Discussionmentioning

confidence: 50%

Outcome Prospective of Late Duodenal Perforation Repairs in Elderly

Anwer¹,

Ashraf²,

Khattak³

et al. 2022

PJMHS

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Introduction: Perforated duodenal ulcer is the communal emergency seen in surgical department, and postoperative complications of this emergency surgeries are very high which requires the related factors identification with this incidence. Aim: This study was designed to evaluate duodenal ulcer in older patients by revealing the patient's health status, early and late repair, choice of surgical procedure, and differences between older and younger duodenal ulcer patients. Study Design: A Retrospective study. Place and duration: In the Surgical Unit 2 of, Sheikh Zayed Medical College/ Hospital Rahim Yar Khan for two-year duration from January 2020 to December 2021. Methods: This study included 140 patients were alienated into 2 age groups as geriatric patients’ group (A) and adult age group (B). Patient age, gender, co-morbidities, drug use, presence of Helicobacter pylori infection, medical conditions that may have been affected by perforation, such as characteristic pain (severe upper abdominal pain or vague abdominal pain), extent of symptoms at presentation, smoking, outcomes of late repair versus early repair was recorded. Results: 140 patients were registered in the analysis. Group I (n = 70) consisted of geriatric patients (age> 65) and Group-II (n = 70) adults’ patients (age <65). Both groups have male dominance in this study. In both groups, the most common comorbidities were diabetes (25.7% and 8.6%, respectively) and arterial hypertension (42.8% and 41.4%, respectively), hypertension (p = 0.002) and coronary artery disease (p = 0.035) was much high in group I, while morbidity and mortality were higher in the group of elderly patients. Conclusion: Duodenal perforation is a serious disease that requires urgent surgical intervention, especially in the geriatric age. Keywords: Duodenal ulcer perforation, acute abdomen, geriatric surgery.

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Section: Discussionmentioning

confidence: 50%

Outcome Prospective of Late Duodenal Perforation Repairs in Elderly

Anwer¹,

Ashraf²,

Khattak³

et al. 2022

PJMHS

View full text Add to dashboard Cite

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The choice of surgical treatment method of perforated pyloroduodenal ulcer

Maksymchuk

Mamchich

Maksymchuk³

2021

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Objective. To develop a method of organ-saving operation aimed at preservation of the physiological function of the pylorus and the normal physiological functioning of the pyloroduodenal area in patients with combined perforated, stenotic pyloroduodenal ulcers. Materials and methods. The study included 60 patients who faced surgery treatment in relation to complicated combined perforated, stenotic pyloroduodenal ulcers. Depending on diagnostic and surgical tactics applied, patients were conditionally divided into two groups. The control group consisted of 30 patients who underwent standard suturing methods. The main group also consisted of 30 patients in whom the developed method was applicated. Results. In the control group at the postoperative period of 30 patients operated in different ways complications occurred in 12 persons or in 40% of cases. In the main group of 30 patients operated according to the proposed method, complication in the form of anastomositis occurred in 1 patient only. Conclusions. The obtained results substantiate recommendation to clinical application the suggested method of organ-saving operation aimed to preserve the physiological function of the pyloroduodenal area, which excludes perforated ulcers suturing without pyloric stenosis elimination and gastrectomy on the background of peritonitis.

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A Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central India

Cited by 2 publications

References 21 publications

Outcome Prospective of Late Duodenal Perforation Repairs in Elderly

Outcome Prospective of Late Duodenal Perforation Repairs in Elderly

The choice of surgical treatment method of perforated pyloroduodenal ulcer

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