Sooner the better: it is also true for perforated duodenal ulcer; a study of 100 cases at Nishtar hospital, Multan

ABSTRACT

A retrospective study of 100 cases to describe the effect of perforation on operation interval on the prognosis of perforated duodenal ulcer was conducted in surgical wards of Nishtar Hospital, Multan. An overall mortality of 16% in 100 patients who under went surgery. Mortality occurred only in group-B and C. Interval between perforation and operation increases the hospital stay like group-A patients stayed in hospital for 8 days, patients of group-B who stayed in hospital for 10 days, whereas stay of group-C patients was 23 days. Number of complications in patients presenting with delay were much more than in patients presenting early. Morbidity also rises with delay. Patients with perforated duodenal ulcers should be operated as soon as possible. Simple closure of perforation is simple and safe wit hrelatively low mortality and short stay in hospital