EPIDEMIOLOGICAL STUDY OF ILEAL PERFORATION IN PATIENTS PRESENTING TO TERTIARY CARE CENTRE IN NORTH-WEST RAJASTHAN
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i12.45954Keywords:
Epidemiology, Ileal perforation peritonitis, Morbidity, MortalityAbstract
Objective: We organized an investigation to study epidemiology and various factors affecting morbidity and mortality of ileal perforation.
Methods: This study is a hospital-based prospective and descriptive study of patients admitted from November 2020 to October 2021. Fifty patients of ileal perforation who were admitted in P.B.M. Hospital during this period have been included in the study.
Results: Typhoid fever accounting for 34% of total cases, 42% were treated by ileostomy, 34 had complications. Out of 50 cases, 34 had complications around half cases had wound dehiscence. Ileostomy was the most common (n=21, 42%) surgical procedure done in cases of ileal perforation. Wound dehiscence was the most common (n=19, 55.88%) post-operative complication observed among study subjects.
Conclusion: Early diagnosis is essential since a proper diagnosis and its therapy are essential to the prognosis. Traumatic perforations have a positive outcome since the lag time is usually short. The kind of surgery performed has no effect on the death rate; however, stoma development is linked to less problems.
Downloads
References
Ramakrishnan K, Salinas RC. Peptic ulcer disease. Am Fam Physician 2007;76:1005-12. PMID 17956071
Ersumo T, W/Meskel Y, Kotisso B. Perforated peptic ulcer in Tikur Anbessa hospital: A review of 74 cases. Ethiop Med J 2005;43:9-13. PMID 16370524
Jhobta RS, Attri AK, Kaushik R, Sharma R, Jhobta A. Spectrum of perforation peritonitis in India-review of 504 consecutive cases. World J Emerg Surg 2006;1:26. doi: 10.1186/1749-7922-1-26, PMID 16953884
Singh G, Dogra BB, Jindal N, Rejintal S. Non-traumatic ileal perforation: A retrospective study. J Fam Med Prim Care 2014;3:132-5. doi: 10.4103/2249-4863.137633, PMID 25161970
Jha PK, Chandran R, Jaiswal P, Kumar A, Seema K, Singh DK, et al. Pattern of ileal perforation in our experience; a tertiary care centre in Eastern India. Int Surg J 2018;5:2081-5. doi: 10.18203/2349-2902. isj20181996
John J, van Aart CJ, Grassly NC. The burden of typhoid and paratyphoid in India: Systematic review and meta-analysis. PLoS Negl Trop Dis 2016;10:e0004616. doi: 10.1371/journal.pntd.0004616, PMID 27082958
Hussain T, Alam SN, Manzar S. Outcome of ileostomy in cases of small bowel perforation. PJS Pak J Surg 2005;21:65-71.
Edino ST, Yakubu AA, Mohammed AZ, Abubakar IS. Prognostic factors in typhoid ileal perforation: A prospective study of 53 cases. J Natl Med Assoc 2007;99:1042-5. PMID 17913115
Udgirkar S, Jain S, Pawar S, Chandnani S, Contractor Q, Rathi P. Clinical profile, drug resistance pattern and treatment outcomes of abdominal tuberculosis patients in Western India. Arq Gastroenterol 2019;56:178-83. doi: 10.1590/S0004-2803.201900000-35, PMID 31460583
Karmakar SR. Dr D, Bhalerao RA. Perforations of terminal ileum. Indian J Surg 1972;34:422-6.
Wani RA, Parray FQ, Bhat NA, Wani MA, Bhat TH, Farzana F. Nontraumatic terminal ileal perforation. World J Emerg Surg 2006;1:7. doi: 10.1186/1749-7922-1-7, PMID 16759405
Khalid S, Burhanulhuq AA, Bhatti AA. Non-traumatic spontaneous ileal perforation: Experience with 125 cases. J Ayub Med Coll Abbottabad 2014;26:526-9. PMID 25672180
Verma H, Pandey S, Sheoran KD, Marwah S. Surgical audit of patients with ileal perforations requiring ileostomy in a tertiary care hospital in India. Surg Res Pract 2015;2015:351548. doi: 10.1155/2015/351548, PMID 26247059
Rahman AK, Krishnaswamy J, Muthukumaran G, Prakash JS. A comparative study on outcome of ileal perforation after primary perforation closure and resection and ileostomy. Int Surg J 2018;5:445-51. doi: 10.18203/2349-2902.isj20180027
Orringer RD, Coller JA, Veidenheimer MC. Spontaneous free perforation of the small intestine. Dis Colon Rectum 1983;26:323-6. doi: 10.1007/BF02561708, PMID 6653291
Eggleston FC, Santoshi B. Typhoid perforation: Choice of operation. Br J Surg 1981;68:341-2. doi: 10.1002/bjs.1800680517, PMID 7225761
Khan AA, Khan IR, Najeeb U, Sheikh AJ. Comparison between primary repair and exteriorization in cases of typhoid perforation. Ann KEMU 2005;11:226-7. doi: 10.21649/akemu.v11i3.1004
Verma H, Dev K, Pandey S, Gurawalia J, Marwah S. Temporary loop versus end ileostomy for faecal diversion in ileal perforation: A case matched study. Sri Lanka J Surg 2016;34:1-6. doi: 10.4038/sljs.v34i1.8233
Shamrao MK. A study on nontraumatic ileal perforation [Doctoral Dissertation]. Chennai: Madras Medical College; 2015.
Ellis H. Operations that Made History. United States: CRC Press; 2018.
Kumar R, Bharti R, Verma A, Chaudhary R, Sharma A, Bhatia R. Generalized secondary peritonitis in a teaching hospital: A clinical profile. SN Compr Clin Med 2020;2:1191-9. doi: 10.1007/s42399-020-00397-8
Published
How to Cite
Issue
Section
Copyright (c) 2022 Dr. Sonali Alla, Dr. Renuka choudhary, Dr. Sahil Middha, Dr. Mohd Salim
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.
