Experience of peptic ulcer perforation over a decade in a teaching hospital of southern Bangladesh

Rahuman, M. B. F.; Saha, Ashish Kumar; Rahim, Abdur

doi:10.4038/cmj.v48i2.3372

Cited by 10 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Study by Rahuman-et al [ 17 ] with 491 patients case selection is important for various treatment options. Low risk, healthy patients can be treated with conservative management.…”

Section: Discussionmentioning

confidence: 99%

Operative versus non-operative management for perforated peptic ulcer disease

Gupta

Alawad

Dacosta

et al. 2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…Study by Rahuman-et al [ 17 ] with 491 patients case selection is important for various treatment options. Low risk, healthy patients can be treated with conservative management.…”

Section: Discussionmentioning

confidence: 99%

Operative versus non-operative management for perforated peptic ulcer disease

Gupta

Alawad

Dacosta

et al. 2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…Serum Amylase and lipase is done to exclude pancreatic pathology. In case of suspected PPU, if the X-ray is not showing free gas under the right diaphragm, a CT scan is recommended, as it has got diagnostic accuracy as high as 98% [25].…”

Section: Clinical Featuresmentioning

confidence: 99%

Peptic Ulcer Perforation: An Enigma Since Antiquity

Agrawal

2021

AJMAH

View full text Add to dashboard Cite

Peptic ulcer disease (PUD) is a serious medical condition. The perforation of peptic ulcers (PPU) causes a steep rise in mortality and morbidity. It accounts for 70% of deaths associated with PUD. More than 60% of perforations occur in the anterior wall of the duodenum, while 20% of it is in the antrum. The gastric ulcer perforation contributes to approximately 20% and is in lesser curvature. The risk factor includes non-steroidal anti-inflammatory drugs (NSAID), Helicobactor pylori (H. Pylori), smoking, alcoholism, Corticosteroid, and stress are some of the risk factors. There is a change in the epidemiology of PUD recently. The improvement is remarkable and is due to improved socio-economic status, identification and treatment of Helicobacter pylori, and introduction of proton pump inhibitors. The H pylori infection remains one of the most important causes of PUD and its complications like PPU. The reason for reviewing and writing this paper is to evaluate the most common ideas on the treatment of peptic ulcer perforation, opinion on conservative treatment, and surgical treatment options.

show abstract

“…Il s'agit donc en majorité d'une population jeune. Ce constat avait été fait par plusieurs auteurs (Jordan P H Jr 1995, L'helgouarc'h 2000, Rahuman 2003) qui ont noté dans leurs séries que l''âge moyen variait entre 35 et 47 ans. Par contre, cette moyenne d'âge était plus élevée dans d'autres séries (Moller 2009, Kang 2006) notamment des pays développés et était respectivement égale à 56 ans et 60 ans.…”

Section: Epidémiologie -Fréquenceunclassified

“…L'évolution a été favorable dans les 2 cas. En effet, plusieurs auteurs rapportent qu'en utilisant ce moyen thérapeutique exigeant, l'on obtient 80% de réussite chez des patients de moins de 70 ans, en bon état général, pris en charge dans les 24 heures, à jeun au moment de la perforation et sans signes de gravité clinique ou biologique (Rahuman 2003, Mouly 2013).…”

Section: Aspects Thérapeutiques -Traitement Non Opératoireunclassified

Les Perforations D’ulcere Gastro-Duodenal Au Centre National Hospitalier Et Universitaire (Cnhu) De Cotonou (Benin)

Kc¹,

DK²,

Kr³

et al. 2016

ESJ

View full text Add to dashboard Cite

Introduction: Duodenal or gastric ulcer perforations constitute a medical and surgical emergency. Purpose: Expose its epidemiological, diagnostic and therapeutic aspects. Method: About a retrospective study from January 1st 2006 to March 31st, 2012 in visceral surgery at CNHU of Cotonou, records of 86 cases of duodenal or gastric ulcer perforation were analyzed. Results: On average 13.8 cases / year, perforation of peptic ulcer was the most etiological cause of acute generalized peritonitis (25.7%). The average age was 34.2 years, the sex ratio of 16.2. Average admission stay was 6 days and it was observed: undocumented epigastralgia (42cas; 48.8%), no pathological medical history (32 cases; 37.2%). Peritoneal syndrome was in 81 cases (94.2%). Abdomen radiography without preparation (71 patients / 86; 82.6%) showed a pneumoperitoneum (52 cases / 71; 77.6%). The treatment was nonoperative (2 cases / 86; 2.3%) with a favorable outcome. Surgical patients had duodenal perforation (49 cases / 84; 57%), gastric perforation (35 cases / 84; 43%). Suturing with or without other technical devices was achieved in all cases. Postoperative complications were present in 28.5% of cases and parietal abscesses were documented as a priority (14 cases / 84; 16.7%). Mortality rate was 4.7% (4/86) and the average hospital stay was 11.6 days. Conclusion: The perforations of peptic ulcer were common in young men. Clinical examination was especially helpful in the diagnosis by abdomen radiography without preparation. The treatment was medical and surgical and the outcome was mostly favorable.

show abstract

Experience of peptic ulcer perforation over a decade in a teaching hospital of southern Bangladesh

Cited by 10 publications

References 0 publications

Operative versus non-operative management for perforated peptic ulcer disease

Operative versus non-operative management for perforated peptic ulcer disease

Peptic Ulcer Perforation: An Enigma Since Antiquity

Les Perforations D’ulcere Gastro-Duodenal Au Centre National Hospitalier Et Universitaire (Cnhu) De Cotonou (Benin)

Contact Info

Product

Resources

About