20Jul 2017

PEPTIC ULCER PERFORATION-INCIDENCE IN YOUNG PATIENTS IN WESTERN RAJASTHAN.

  • Department of Surgery, Dr S N Medical College, Jodhpur.
Crossref Cited-by Linking logo
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background-Peritonitis due to peptic ulcer perforation is one of the common causes of gastrointestinal tract perforation. Recently a trend has been observed towards a shift from older to younger population. In this study recent incidence of peptic perforation was carried out with below mentioned statistics. Method-It is a prospective study design of patients admitted in emergency and diagnosed as having peptic perforation either gastric or duodenal intra-operatively in age group of 15-35 year from August 2014-August 2015. Results- Out of the total 135 patients 50 were in the age group of 15-35 years. 80% of the young patients were males with male: female ratio being 4:1. 30% of the patients had previous history of peptic ulcer disease. Anterior duodenal perforation was the most common finding noted in about 90% of patients. Common etiological factors were H.pylori, NSAID use along with stress and alcoholism. Mortality rate due to peptic ulcer perforation was about 2% which was quite less as compared to older population due to good physiological reserves. Conclusion-Peptic ulcer perforation is more commin in younger age group with male preponderance.


  1. M David, Krantz B, Stomach, Sabiston?s textbook of modern surgery 19 edition:1187-1227.
  2. Bharti RC, Marwaha DC, Immediate definite surgery in perforated duodenal ulcer. A comparative study between surgery and simple closure. Indian J 1996: 275-9
  3. Hannan A, Islam B, Hussain M, Haque MM, Kudrat-E-Khuda MI. Early complications of suture closure of perforated duodenal ulcer: A case study of 100 cases. Teach Assoc J.2005 (18):122-26
  4. Elnagib E, Mahadi SE, Ahmed ME. Perforated peptic ulcer in Khartoum. Khartoum Med J. 2008;01(02):62-66.
  5. Chalya PL, Mabula JB, Koy M, McHembe MD, Jaka HM, Kabangila R.et al . Clinical profile and outcome of surgical treatment of perforated peptic ulcer in North Western Tanzania: A tertiary hospital experience. World J Emerg Surg. 2011;6:31.
  6. Belne K, Suleyman S, Bulent et al. J Gastroenteronol Hepatol. 2007;22(4):565-570.
  7. Administrative data source such as in National inpatient sample and Health Insurance claim. Registry in Korea
  8. Soonro SH, Shaikh MS, Bhatti Y, Abro AA, Shaikh SA. Perforated duodenal ulcer an audit. Med Channel. 2010:16(3).

[Ratanraj, Deepak Verma, Poojan M Purohit, Kshitij, Himanshu and Manoj Seervi. (2017); PEPTIC ULCER PERFORATION-INCIDENCE IN YOUNG PATIENTS IN WESTERN RAJASTHAN. Int. J. of Adv. Res. 5 (Jul). 1257-1260] (ISSN 2320-5407). www.journalijar.com


Ratanraj
Dr S N Medical College

DOI:


Article DOI: 10.21474/IJAR01/4835      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4835