EVALUATION, MANAGEMENT AND OUTCOME OF GASTROINTESTINALPERFORATIONS

Background: GIT perforation in an emergency is the third most frequent reason for

explorative laparotomy.The occurrence of perforated peptic ulcers has decreased with thedevelopment of proton pump inhibitors. The methods for identifying and

treating stomach and colon-rectal perforations have significantly changed with

the development of laparoscopy and endoscopy

Methods: All patients admitted and treated with perforation secondary to Hollow

viscous perforation in surgical wards admitted during the period of JAN 2020

to JULY 2022 at Maharaja s institute of medical sciences, Vizianagaram Patients with Hollow viscus perforation admitted will be evaluated and

the diagnosis will be made with history, clinical features and X-Ray

Abdomen erect posture to support the diagnosis. Each case will be studied

as per the proforma developed specifically for this study. Follow-up

assessments will be done at first and third month during the postoperative

period.

Results: All the 30 cases weremanaged surgically with emergency laparotomy under General Anaesthesia.Out of 30 cases, 13 were appendicular perforations, 14 were acid pepticperforations in gastroduodenal region with single case of malignant gastricperforation, 1 idiopathic colonic perforation and 1 typhoid ileal perforation werenoted.

Conclusion: Most common age of presentation is 3rd and 5th decade with male preponderance.Gastroduodenal perforation was the commonest cause of gastrointestinalPerforation followed by appendicular perforation.

Peptic ulcer disease is most common etiology of GI perforation followed by

appendicularperforation.