Prognostic factor for peptic ulcer perforation.

Asim Malik; Muhammad Nawaz Anjum; Nasir Iqbal

Author(s)

Asim Malik Department of Surgery, Surgical Unit-11 Post Graduate Medical Institute/Services Hospital, Lahore, Pakistan

Muhammad Nawaz Anjum Department of Surgery, Surgical Unit-11 Post Graduate Medical Institute/Services Hospital, Lahore, Pakistan

Nasir Iqbal Department of Surgery, Surgical Unit-11 Post Graduate Medical Institute/Services Hospital, Lahore, Pakistan

Abstract

Most surgeons are well aware of the fact that the treatment of intestinal perforation is obligatory, Delayed treatment of peptic ulcer perforation can similarly lead to negative consequences for the patient and for the surgical departments to evaluate these, a retrospective analysis of effects of increasing age and delay in treatment on morbidity, mortality and hospital stay was carried out in Services Hospital, Lahore. The patients were divided into three groups according to age. Each group was further subdivided into two subgroups according to delay in treatment of more than 12 hours. The hospital stay was also shorter in this group. In group `B` the morbidity was 18.6% in those who presented wigth in 12 hours as compared to 54.5% in those who presented after 12 hours period. The mortality was 3.7% and 27.3% respectively. In group `C` the increasing age had compounding affect on morbidity and mortality which reached upto 61.5% and 38.4% in those who presented early and 80% and 63.7% respectively in those who presented with a delay of more than 12 hours. The hospital stay was 27 and 33 days respectively. We concluded that the increasing age and delay in treatment are the main determinant of morbidity and mortality.

Publication Details

Page(s) 86-89

DOI DOI not available

Published Journal: Pakistan Postgraduate Medical Journal, Volume: 14, Issue: 2, Year: 2003

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