A Study On Mortality In Perforated Peptic Ulcer

ABSTRACT

NSAIDs are responsible for most of the perforated peptic ulcers. Patients with perforated peptic ulcer have a hospital mortality risk of 10% to 20%. It is a significant problem for India, so this study was done to determine the magnitude and management of mortality risk. Astudy of 132 cases of perforated peptic ulcer admitted in government general hospital, Kurnool, Andhrapradesh, India from August 2017 to July 2019 was carried out. Alcohol(38.6%), smoking and NSAIDs are important etiologic factors for peptic ulcer. The mortality in perforated peptic ulceration is 33.3%. Risk of mortality was associated with shock at presentation and time delay in presentation. Aperforated peptic ulcer is a surgical emergency. It is a life-threatening condition which requires early diagnosis and immediate surgery — delayed management results in mortality. Most require surgery with omental pedicle patch. Mortality is high with a time delay to the presentation, medical comorbidities, shock at the time presentation and old age (>60yrs)