Acta Biomedica Scientia

PREVALENCE OF PERFORATED PEPTIC ULCER IN STOMACH AND DUODENUM ALONG WITH CLINICAL SUGGESTION AND TREATMENT

Dr. Ramesh

nithishent@gmail.com

-Peptic ulcer disease, non- steroidal anti-inflammatory drugs, Helicobacter pylori Drug-induced ulcer

Peptic ulcer disease is a common condition that arises due to break in gastrointestinal lining due to either excess stomach acid production or blunted mucosal defenses. The disease most commonly involves distal oesophagus, stomach, duodenum, jejunum. In every year peptic ulcer disease affects 4 million peo¬ple around the world. This study was performed to assess the Prevalence of perforated peptic ulcer in stomach and duodenum along with clinical suggestion and treatment. This becomes a retrospective take a look at of the patients who admitted as an emergency to Karpaga Vinayaga Institute of Medical sciences and Research Centre, Chinna Kolambakkam. Our examine included all the patients who have been recognized with gastric perforated ulcer 70 patients. X-ray abdomen erect posture, leukocyte count, serum amylase were performed along with other investigations. After surgery, site of perforation type of surgery along with any complications and outcome of treatment were recorded. Patients were followed-up for 30 days. Out of the total of 70 patients studied, 59 were men, i.e., 84.2% while 11were women, i.e., 15.7%, with a men and women ratio of 5.36:3. Twenty nine cases (41.4%) had perforated gastric ulcer (P.G.U), 26 patients (37.1%) with perforated duodenal ulcer (P.D.U))and15 patients (21.4%) had a drug-induced ulcer (D.I.U). Men are extra usually affected with peak occurrence inside the thirties. Abdominal pain and vomiting are the 2 essential and early scientific predictors of the diagnosis and risk.. Duodenum and pylorus are the most not unusual sites of perforation. A prompt, correct analysis and immediate surgical operation is of prime importance in patients with perforated peptic ulcers. The mortality fee increases with the duration of the interval among the time of the ulcer perforation and the time of the surgical treatment