Study of incidence of peptic ulcer perforation in young adults

Bansod, Atish; Bansod, Shubhangi; Galande, Ashok B.; Shamkuwar, Ambrish T.; Singh, Kalpana

doi:10.5455/2349-2902.isj20141114

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Similar observations were made by Nuhu et al from Maiduguri and Lawal et al from Ile-Ife who recorded previous history of PUD in 71 and 47% of their patients respectively. 26,28 This is in contrast to some other African studies where more than 60% of their patients had no past history suggestive of PUD. 7,28 The reason for this difference is not quite apparent.…”

Section: Discussioncontrasting

confidence: 50%

“…26,28 This is in contrast to some other African studies where more than 60% of their patients had no past history suggestive of PUD. 7,28 The reason for this difference is not quite apparent. While in present study 27 (29.67%) patients had no previous history of peptic ulcer disease or any history of dyspepsia.…”

Section: Discussioncontrasting

confidence: 50%

“…Similarly, use of NSAIDS is an important cause of perforated PUD in the west. 28 Use of NSAIDS was seen in (n=42 i.e. 46.15% of our patients.…”

Section: Discussionmentioning

confidence: 99%

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Clinical study of open versus laparoscopic management for gastroduodenal perforation

et al. 2017

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Background: This study was organized to compare the clinical efficacy of laparoscopic and open repair of gastroduodenal perforation, and to provide the impressive surgical method of treatment for gastroduodenal perforation.Methods: The present study was conducted with 174 consecutive patients treated for gastroduodenal perforations. These patients included 121 with perforated gastric ulcers, 53 with perforated duodenal ulcers, Whereas 31 patients were treated laparoscopically, and 143 patients underwent conventional (open) surgery.Results: A total of 174 patients were studied with men and women ratio of 4:1. This observational study revealed 80% male preponderance, with mean age of 48 years. Gastric perforations (n=77, i.e., 84.62%) were more common than duodenal perforations (n=14, i.e., 15.38%). Simple closure with omental patch (n=74, i.e., 81.32%) was the most common surgical method for duodenal perforation. While for gastric perforations were repaired primarily with two layered sutures. The mean operating time of open were 61 min and 86 min for laparoscopic surgery. Wound infection was the commonest post-operative complication which was seen in 31 (17.81%) patients.Conclusions: Laparoscopic gastroduodenal perforation repair is safe and reliable, has good clinical efficacy, the incidence of complications compared with open surgery does not increase, and has less surgical trauma, less bleeding, advantages of fast recovery of gastrointestinal function and short hospitalization time, Thus it has great clinical significance and should be promoted in surgery.

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Section: Discussioncontrasting

confidence: 50%

Section: Discussioncontrasting

confidence: 50%

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Clinical study of open versus laparoscopic management for gastroduodenal perforation

et al. 2017

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Characteristic and Histopathological Features of Patients With Perforated Peptic Ulcer Who Underwent Open Surgery Therapy at DR.SOETOMO General Academic Hospital, Surabaya, Indonesia

Rachmani

Putro

Rahniayu

2021

MBIOM

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Background: Perforated peptic ulcer is a form of complications from peptic ulcer and one of the most common emergency conditions in medicine. Objective: To describe the characteristic and histopathological features of patients with perforated peptic ulcer who underwent open surgery therapy in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Materials and Methods: This study was a descriptive study by observing patients’ data from medical records (secondary data) at Medical Record Center of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in 2016. Data obtained were analyzed descriptively. Results: Forty-six patients were identified (34 male, 12 female), most of them were between 56-65 years old for male and ≥66 years old for female. Majority of the subjects had a history of herbal medicine consumption (54%) as risk factors for developing perforated peptic ulcer and the most frequent comorbid diseases were diabetes and hypertension. The histopathological features found mostly were inflammation (100%), necrosis (44%), fibrosis (36%), granulation (17%) and positive Helicobacter pylori (6%). Conclusion: Majority of the subjects were male, mostly between 56-65 years old for male and ≥66 years old for female. The histopathological features showed that all subjects had inflammations.

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A Hospital Based Study of Incidence of Peptic Ulcer Perforation in Young Adults

Karan¹,

Rai

Jana

2021

ijsr

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Background: Peptic ulcer formation affects about 2-10% of world population every year with higher incidence in younger individuals. Being a surgical emergency, it has higher mortality and morbidity. Thus, the aim of our study was to evaluate the incidence of peptic ulcer perforation based on gender, age and also to study its associated risk factors, clinical presentations, site along with surgical management and complications. Materials & Methods: 75 patients diagnosed with perforated peptic ulcer were included and this study was conducted in the Upgraded Department of Surgery, Darbhanga Medical College and Hospital, Laheriasarai, Bihar. Structured performa was prepared to obtained details of patients. Results: 76% of patients in our study were males and 24% were females with male and female ratio 1:3.16. The prevalence of perforation was high in age group 20-30 years (30.7%). 62.7% of cases had positive family history and the incidence was in the patients who consumed non-vegetarian (84.8%), spicy (61.4%) and oily (69.5%) foods. Frequently observed clinical presentation were abdominal pain followed by tenderness and rigidity and gas under diaphragm. The common site of perforation was duodenum (62.7%) and most of the cases were treated by closure with omental patch (81.3%). The post-surgical complications frequently observed were wound infection (30.6%) and chest infection (28%). Conclusion: Peptic ulcer perforation is common disorder of gastrointestinal tract, now affecting younger adults with male preponderance. It is associated with unwanted health and economic issues. Therefore, earlier management is only the way to minimize complications and mortality

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Study of incidence of peptic ulcer perforation in young adults

Cited by 4 publications

References 4 publications

Clinical study of open versus laparoscopic management for gastroduodenal perforation

Clinical study of open versus laparoscopic management for gastroduodenal perforation

Characteristic and Histopathological Features of Patients With Perforated Peptic Ulcer Who Underwent Open Surgery Therapy at DR.SOETOMO General Academic Hospital, Surabaya, Indonesia

A Hospital Based Study of Incidence of Peptic Ulcer Perforation in Young Adults

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