The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation
Objective: To find out the significance of the PerforationOperation Interval (POI) with respect to an early prognosis, in patients with peritonitis which is caused by peptic ulcer perforation. Study Design: Case series. Place and Duration of the Study: Department of General Surgery, Konaseema I...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2013-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/2965/23-%204925_E(C)_PF1(M)_F(P)_PF1(P)_PFA(N)_PF1(PP)_PF2(PP).pdf |
| _version_ | 1818496059530280960 |
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| author | Sushama Surapaneni Rajkumar S Vijaya Bhaskar Reddy A. |
| author_facet | Sushama Surapaneni Rajkumar S Vijaya Bhaskar Reddy A. |
| author_sort | Sushama Surapaneni |
| collection | DOAJ |
| description | Objective: To find out the significance of the PerforationOperation Interval (POI) with respect to an early prognosis,
in patients with peritonitis which is caused by peptic ulcer
perforation.
Study Design: Case series.
Place and Duration of the Study: Department of General
Surgery, Konaseema Institute of Medical Sciences and RF
Amalapuram, Andhra Pradesh, India from 2008-2011.
Materials and Method: This study included 150 patients with
generalized peritonitis, who were diagnosed to have Perforated Peptic Ulcers (PPUs). The diagnosis of the PPUs was
established on the basis of the history , the clinical examination
and the radiological findings. The perforation-operation interval was calculated from the time of onset of the symptoms like
severe abdominal pain or vomiting till the time the patient was
operated.
Result: Out of the 150 patients 134 were males and 16 were
females, with a male : female ratio of 9:1. Their ages ranged
between 25-70 years. Out of the 150 patients, 65 patients
(43.3%) presented within 24 hours of the onset of severe abdominal pain (Group A), 27 patients (18%) presented between
24-48 hours of the onset of severe abdominal pain (Group B)
and 58 patients (38.6%) presented after 48 hours. There was
no mortality in Group A and the morbidity was more in Group
B and Group C. There were 15 deaths in Group C.
Conclusion: The problem of peptic ulcer perforation with its
complication, can be decreased by decreasing the perforation
–operation time interval, which as per our study, appeared to
be the single most important mortality and morbidity indicator
in peptic ulcer perforation. |
| first_indexed | 2024-12-10T18:28:27Z |
| format | Article |
| id | doaj.art-41733bb6a34347ebabe9692b4755536f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T18:28:27Z |
| publishDate | 2013-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-41733bb6a34347ebabe9692b4755536f2022-12-22T01:38:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-05-017588088210.7860/JCDR/2013/4925.2965The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer PerforationSushama Surapaneni0Rajkumar S1Vijaya Bhaskar Reddy A.2Assistant Professor, Department of Surgery, KIMS & RF, Amalapuram-533201 Andhra Pradesh, India. Professor, Department of Surgery.Post Graduate, Department of Surgery, Konaseema Institute of Medical Sciences Amalapuram, Andhra Pradesh India.Objective: To find out the significance of the PerforationOperation Interval (POI) with respect to an early prognosis, in patients with peritonitis which is caused by peptic ulcer perforation. Study Design: Case series. Place and Duration of the Study: Department of General Surgery, Konaseema Institute of Medical Sciences and RF Amalapuram, Andhra Pradesh, India from 2008-2011. Materials and Method: This study included 150 patients with generalized peritonitis, who were diagnosed to have Perforated Peptic Ulcers (PPUs). The diagnosis of the PPUs was established on the basis of the history , the clinical examination and the radiological findings. The perforation-operation interval was calculated from the time of onset of the symptoms like severe abdominal pain or vomiting till the time the patient was operated. Result: Out of the 150 patients 134 were males and 16 were females, with a male : female ratio of 9:1. Their ages ranged between 25-70 years. Out of the 150 patients, 65 patients (43.3%) presented within 24 hours of the onset of severe abdominal pain (Group A), 27 patients (18%) presented between 24-48 hours of the onset of severe abdominal pain (Group B) and 58 patients (38.6%) presented after 48 hours. There was no mortality in Group A and the morbidity was more in Group B and Group C. There were 15 deaths in Group C. Conclusion: The problem of peptic ulcer perforation with its complication, can be decreased by decreasing the perforation –operation time interval, which as per our study, appeared to be the single most important mortality and morbidity indicator in peptic ulcer perforation.https://jcdr.net/articles/PDF/2965/23-%204925_E(C)_PF1(M)_F(P)_PF1(P)_PFA(N)_PF1(PP)_PF2(PP).pdfperforated peptic ulcer (ppu)perforation-operation time interval (poi) |
| spellingShingle | Sushama Surapaneni Rajkumar S Vijaya Bhaskar Reddy A. The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation Journal of Clinical and Diagnostic Research perforated peptic ulcer (ppu) perforation-operation time interval (poi) |
| title | The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation |
| title_full | The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation |
| title_fullStr | The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation |
| title_full_unstemmed | The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation |
| title_short | The Perforation-Operation time Interval; an Important Mortality Indicator in Peptic Ulcer Perforation |
| title_sort | perforation operation time interval an important mortality indicator in peptic ulcer perforation |
| topic | perforated peptic ulcer (ppu) perforation-operation time interval (poi) |
| url | https://jcdr.net/articles/PDF/2965/23-%204925_E(C)_PF1(M)_F(P)_PF1(P)_PFA(N)_PF1(PP)_PF2(PP).pdf |
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