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.