Spectrum of perforation peritonitis in India-review of 504 consecutive cases
<p>Abstract</p> <p>Background/objective</p> <p>Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The <b>objective </b>...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2006-09-01
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| Series: | World Journal of Emergency Surgery |
| Online Access: | http://www.wjes.org/content/1/1/26 |
| _version_ | 1818526007089430528 |
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| author | Sharma Rajeev Kaushik Robin Attri Ashok Jhobta Rajender Jhobta Anupam |
| author_facet | Sharma Rajeev Kaushik Robin Attri Ashok Jhobta Rajender Jhobta Anupam |
| author_sort | Sharma Rajeev |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background/objective</p> <p>Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The <b>objective </b>of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH), Chandigarh.</p> <p>Methods</p> <p>Five hundred and four consecutive cases of perforation peritonitis over a period of five years were reviewed in terms of clinical presentation, operative findings and postoperative course retrospectively at GMCH, Chandigarh.</p> <p>Results</p> <p>The most common cause of perforation in our series was perforated duodenal ulcer (289 cases) followed by appendicitis (59 cases), gastrointestinal perforation due to blunt trauma abdomen (45 cases), typhoid fever (41 cases) and tuberculosis (20 cases). Despite delay in seeking medical treatment (53%), the overall mortality (10%) was favourably comparable with other published series though the overall morbidity (50%) was unusually high.</p> <p>Conclusion</p> <p>In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. The increasing incidence of post-traumatic gastro-enteric injuries may be due to an increase in high speed motor vehicle accidents which warrant early recognition and prompt treatment to avoid serious complications and death.</p> |
| first_indexed | 2024-12-11T06:17:09Z |
| format | Article |
| id | doaj.art-e9b890d9c4ed4911b6fc168b303b6647 |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-11T06:17:09Z |
| publishDate | 2006-09-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-e9b890d9c4ed4911b6fc168b303b66472022-12-22T01:17:57ZengBMCWorld Journal of Emergency Surgery1749-79222006-09-01112610.1186/1749-7922-1-26Spectrum of perforation peritonitis in India-review of 504 consecutive casesSharma RajeevKaushik RobinAttri AshokJhobta RajenderJhobta Anupam<p>Abstract</p> <p>Background/objective</p> <p>Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The <b>objective </b>of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH), Chandigarh.</p> <p>Methods</p> <p>Five hundred and four consecutive cases of perforation peritonitis over a period of five years were reviewed in terms of clinical presentation, operative findings and postoperative course retrospectively at GMCH, Chandigarh.</p> <p>Results</p> <p>The most common cause of perforation in our series was perforated duodenal ulcer (289 cases) followed by appendicitis (59 cases), gastrointestinal perforation due to blunt trauma abdomen (45 cases), typhoid fever (41 cases) and tuberculosis (20 cases). Despite delay in seeking medical treatment (53%), the overall mortality (10%) was favourably comparable with other published series though the overall morbidity (50%) was unusually high.</p> <p>Conclusion</p> <p>In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. The increasing incidence of post-traumatic gastro-enteric injuries may be due to an increase in high speed motor vehicle accidents which warrant early recognition and prompt treatment to avoid serious complications and death.</p>http://www.wjes.org/content/1/1/26 |
| spellingShingle | Sharma Rajeev Kaushik Robin Attri Ashok Jhobta Rajender Jhobta Anupam Spectrum of perforation peritonitis in India-review of 504 consecutive cases World Journal of Emergency Surgery |
| title | Spectrum of perforation peritonitis in India-review of 504 consecutive cases |
| title_full | Spectrum of perforation peritonitis in India-review of 504 consecutive cases |
| title_fullStr | Spectrum of perforation peritonitis in India-review of 504 consecutive cases |
| title_full_unstemmed | Spectrum of perforation peritonitis in India-review of 504 consecutive cases |
| title_short | Spectrum of perforation peritonitis in India-review of 504 consecutive cases |
| title_sort | spectrum of perforation peritonitis in india review of 504 consecutive cases |
| url | http://www.wjes.org/content/1/1/26 |
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