OBSERVATIONAL STUDY OF ETIOLOGY AND OUTCOME IN HOLLOW VISCUS PERFORATION

ABSTRACT

Background: Gastrointestinal perforation is a common abdominal emergency having a high morbidity and mortality. Missed diagnosis and late intervention are frequent causes of increased morbidity and mortality especially in patients who survive the initial phase of insult. Diagnosis and treatment of gastrointestinal perforation remains a formidable problem in our country. Aim & Objevtives To compare certain common etiologies and their outcomes in the following diseases and sites respectively Acid Peptic Disease–Duodenal/Gastric Typhoid- Ileal Diverticulitis-Colon Trauma-Any Part Retrospec Methods: tive observational study of 50 Operated Patients done in Government Medical College Surat during period of September 2019 to December 2020 According to Inclusion and Exclusion Criteria. Data is analysed using descriptive statistics (Percentage, Proportions). Among 50 cases of hollow viscus Results & Conclusion: perforation, Peptic perforation was common (33 out of 50 cases). Next being Ileal perforation. Jejunum was common site of perforation in blunt abdominal trauma. Peptic Perforations are more commonly seen in 40-60yrs of age group with alcohol and smoking as their addiction, with worker as occupation. Typhoid Perforations are more commonly seen in 20-40yrs of age group. In this study except for wound dehiscence in 4 cases which needed secondary suturing, no major morbidity noted. 4% mortality noted in the present study.