Perforated Peptic Ulcer &amp; Its Association with Vascular Anatomy of Stomach &amp; Duodenum

Kumar, Dr.Dharmendra

doi:10.9790/0853-1605041618

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Similar studies conducted in Romania, India, Southern Asia, Middle East and Arab countries revealed that rates of PPU are greater in males and most common localization is found to be duodenal [2,[12][13][14]. Type V ulcer localization is associated with the use of NSAIDs.Due to possible inaccurate documentation of NSAIDs usage there might have been less records of type V ulcer perforation localizations in this study.…”

Section: Discussionmentioning

confidence: 78%

Perforated Peptic Ulcers: 3 Year Experience in Klaipeda University Hospital

Dailidėnas¹,

Garčauskis²,

Srėbaliūtė³

et al. 2019

Public Health

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Perforation is second most common complication of peptic ulcers with mortality rate ranging from 3 to 30 %. For best outcomes this condition must be diagnosed and managed as soon as possible. Objectives and methods. The aim of this study was to present our clinical experience in managing perforated peptic ulcers. Retrospective data analysis of patients treated for perforated peptic ulcers from year 2015 to 2017 was performed. Statistical data analysis was carried out using the SPSS 20.0 software. Results. 90 patients were treated for perforated peptic ulcers. The female and male ratio was 1:1.25 with the mean patient age of 61.60±19.42 years. There were no more data from 16 patients. The average hospital stay was 12.89±13.31 days. 11% of the patients had type I, 49% – type II, 24% – type III, 5%- type IV, 11% – type V ulcer according to modified Johnson classification. 91% underwent ulcerorrhaphy, 4% -Billroth type I surgery, 2% – Billroth type II surgery and 1% had atypic resection. 84% of surgeries were performed with laparotomic approach, 12% – laparos-copically, 4% had a conversion. The mean duration of the operation was 85.2±4.64 minutes. The average Mannheim Peritonitis Index between the patients was 17.135±7.36. 24% of patients with perforated peptic ulcer died. Statistically significant correlation was observed between the Mannheim Peritonitis Index and mortality (r=0.640; p<0.05), age and mortality (r=0.459; p<0.05) and between age and Mannheim Peritonitis Index (r=0.740; p<0.05). Conclusion. During the period from 2015 to 2017 90 patients were treated for PPU. Half of the patients had type II ulcer localization according to modified Johnson classification. Simple closure was performed for 91% of the patients, 84% of all surgeries were performed with an open approach. Statistically significant correlation was found between Mannheim Peritonitis Index and mortality, age and mortality and between age and Mannheim Peritonitis Index. No significant correlation was observed between the approach and the outcome. There could be a bigger role in laparascopic surgery treating PPU. It is important for clinicists to consider about PPI for treatment when prescribing NSAIDs, especially in elderly and hospitalized patients in order to avoid peptic ulcers and its complications.

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Section: Discussionmentioning

confidence: 78%

Perforated Peptic Ulcers: 3 Year Experience in Klaipeda University Hospital

Dailidėnas¹,

Garčauskis²,

Srėbaliūtė³

et al. 2019

Public Health

View full text Add to dashboard Cite

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Study of Sodium and Potassium Imbalance in Newly Diagnosed Hypertension

Gupta¹,

Pandey²,

Shafeek³

et al. 2018

jemds

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BACKGROUND Hypertension is one of the leading causes of death and disability among adults all over the world. It remains the major risk factor for coronary, cerebral and peripheral vascular disease. Essential hypertension comprises more than 90% of hypertension. Hypertension is an emerging health problem in India. When majority of people come to know that they have hypertension they have already advanced into a stage with target organ damage-a fatal stroke or myocardial infarction or irreversible renal failure. Unfortunately, even in developed countries like United States, 50 million people have hypertension. Aim of the study-To study serum sodium and potassium levels and correlate them with the blood pressure in newly detected hypertension. MATERIALS AND METHODS This was a cross sectional study conducted in the department of General Medicine at S.S. Medical College Rewa M.P. over a period of one year. Both inpatients and outpatients were included in the study. RESULTS In our study, out of 250 patients, 133 were in stage 1 hypertension (53.2%) and 102 patients were in stage 2 hypertension (40.8%). Very small proportions (6%) were having isolated systolic hypertension. Serum sodium was higher in both stage 1 & 2 hypertension and serum potassium was lower in both stage-1 &-2 hypertension.

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Perforated Peptic Ulcer & Its Association with Vascular Anatomy of Stomach & Duodenum

Cited by 2 publications

References 4 publications

Perforated Peptic Ulcers: 3 Year Experience in Klaipeda University Hospital

Perforated Peptic Ulcers: 3 Year Experience in Klaipeda University Hospital

Study of Sodium and Potassium Imbalance in Newly Diagnosed Hypertension

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