The Treatment and Complications of Non-Traumatic Upper Gastrointestinal Perforation скачать в хорошем качестве

The Treatment and Complications of Non-Traumatic Upper Gastrointestinal Perforation

The Treatment and Complications of Non-Traumatic Upper Gastrointestinal Perforation: An Observational Study Layman Abstract: Gastrointestinal (GI) tract perforations are serious medical emergencies that require quick diagnosis and treatment. When a part of the digestive tract (like the stomach or intestines) tears or bursts, it can cause severe pain, infection, and other life-threatening issues. The condition can result from various causes such as trauma, ulcers, infections like typhoid, or appendicitis. If not treated quickly, it can lead to high rates of complications and even death. This study focused on how GI perforations are treated and the complications that arise in cases where surgery is needed. The research took place in a hospital in Raigarh, India, and involved 100 patients who experienced GI perforations. The patients were treated either through surgery, a less invasive approach known as peritoneal drainage, or conservative management (monitoring and non-surgical care). The most common complications were infections (toxemia), wound problems, and breathing issues. For example, patients with perforations caused by peptic ulcers had a 32% chance of developing toxemia, while those with typhoid had a 50% risk. The average length of stay in the hospital for most patients was around 16 to 18 days, though patients who were treated conservatively (without surgery) generally spent a bit less time in the hospital. In conclusion, GI perforations are a major health risk that often requires surgery. Delays in diagnosis and treatment can lead to serious complications. The study highlights the need for early treatment and careful monitoring to prevent worsening conditions. Original Abstract: Background: Gastrointestinal tract (GI) Perforations are emergency situations that require early diagnosis and prompt management. These may account for nearly half of admissions in the General Surgical ward, presenting with Acute Abdomen. A rapid diagnosis and early treatment are important and delay leads to increased mortality and morbidity. The treatment is mainly surgical, with conservative management being reserved for hemodynamically unstable patients with co-morbidities. The common causes of Gastrointestinal Tract Perforation are Blunt or Penetrating Trauma, Peptic Ulcer, Inflammatory Disease, Foreign Body, estrogenic or Neoplasms. These may have variable clinical presentations, notably in the early clinical course. The aim of the author is to investigate the modes of treatment and complications, associated with Non-traumatic Upper Gastrointestinal Perforation. Methods: This Cross-sectional Observational study was carried out in the Department of General Surgery at Late Lakhiram Agrawal Memorial, Government Medical College (LAMGMC) Raigarh, Chhattisgarh, India, from September 2014 to August 2016. A total of 100 adult subjects (both males and females) of all age groups were included in this study. Results: Operative management was done in 44 patients (44%), 38 patients (38%) were managed conservatively & 18 (18%) of cases were managed with Peritoneal drainage under Local Anesthesia (LA). The most common complication in patients with Peptic perforation was Toxemia in 32.3% of patients, followed by Wound breakdown in 17.9% and Respiratory complications in 11% of patients. The most common complications in patients with Typhoid perforation were Toxemia in 50%, Respiratory complications in 32.4% of patients, Operative site infection in 22.2% and Wound dehiscence in 18.5% of cases. Similarly, the most common complication in cases with Appendicular perforation was Wound breakdown in 50% of patients, followed by Toxemia in 40% of patients. The average duration of stay in hospital was 16.52 days. The average duration of hospital stay in patients with Peptic perforation was 17.3 days, for Typhoid perforation 18.3 days, for Appendicular perforation 18.5 days and for other perforation was 12 days. Conclusions: Gastrointestinal (GI) Perforation is an important emergency situation that usually requires prompt surgery often delay in diagnosis and treatment leads to severe complications and increase morbidity and mortality. The majority of the cases underwent Operative management and the most frequent complication encountered was Toxemia followed by Wound Breakdown and Respiratory Complications. The average duration of stay in the hospital was nearly the same for all cases but the stay was less in patients who were managed conservatively. #GastrointestinalHealth, #GIperforation, #EmergencySurgery, #PepticUlcer, #TyphoidPerforation, #SurgicalManagement, #HealthEmergencies, #AbdominalPain, #SurgeryRecovery, #MedicalResearch, #InfectionControl, #HospitalCare, #HealthComplications, #EmergencyMedicine, #GastrointestinalTreatment, #PeritonealDrainage, #WoundInfection, #Toxemia, #MorbidityAndMortality, #Appendicitis, #MedicalStudy, #HealthcareEmergencies View Book: https://doi.org/10.9734/bpi/dhrd/v4/4182