| Autor: |
Kolhar, B. A., Lamani, Y. P., Goudar, B. V., Kalburgi, E. B., Bhavi, B. K., Karikazi, Mohammedgouse, Ganjigatti, Mahantayya, B. S., Suhas |
| Předmět: |
|
| Zdroj: |
Medica Innovatica; Jul2016, Vol. 5 Issue 1, p32-37, 6p |
| Abstrakt: |
Background: India is a developing country and there has been a considerable change in management of infectious disease leading to decline in the complications; despite which gastrointestinal perforations constitute to be most common surgical emergencies. Our objective was to determine the change in the trend of proximal versus distal perforation and the decline in infectious aetiology. Methods: Retrospective study of 85 consecutive patients from January 2013 to December 2015 were reviewed with respect to presentation, intraoperative findings and post operative course at our tertiary care hospital in district of Bagalkot, North Karnataka. Results: The most common cause of perforation in our study was perforated duodenal ulcer (44 cases) followed by appendicitis (20 cases), gastrointestinal perforation due to blunt trauma abdomen (7 cases), penetrating abdominal injury (1 case), typhoid fever (3 cases) and tuberculosis (2 cases). Overall mortality was 2.35 %. Conclusion: As in developed countries there is decrease in incidence of proximal versus distal perforations in India, today. This is due to improvement in the medical management of infectious disease. The increasing incidence of post-traumatic gastrointestinal perforation is due to an increase in motor vehicle accidents. However, the incidence can still be reduced to a low number with the improvement in health education, early diagnosis with effective medical management of the infections and measures to prevent Road Traffic Accidents. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
