Spectrum of Perforation Peritonitis in India: A Review of 504 Cases
Author Information
Author(s): Jhobta Rajender Singh, Attri Ashok Kumar, Kaushik Robin, Sharma Rajeev, Jhobta Anupam
Primary Institution: Government Medical College and Hospital (GMCH), Chandigarh
Hypothesis
The study aims to highlight the spectrum of perforation peritonitis as encountered at GMCH, Chandigarh.
Conclusion
Upper gastrointestinal tract perforations are more common in India compared to lower gastrointestinal tract perforations in Western literature.
Supporting Evidence
- The most common cause of perforation was perforated duodenal ulcer, followed by appendicitis and gastrointestinal perforation due to blunt trauma.
- Despite a delay in treatment for many patients, the overall mortality rate was 10%.
- 50% of patients experienced postoperative complications, with respiratory issues being the most common.
Takeaway
This study looked at 504 patients with a serious stomach condition called perforation peritonitis, finding that most cases were due to ulcers and appendicitis.
Methodology
A retrospective analysis of 504 patients over five years, reviewing clinical presentation, operative findings, and postoperative course.
Potential Biases
Potential bias due to the study being conducted at a single institution and reliance on patient records.
Limitations
The study may not represent all cases of perforation peritonitis in India due to its retrospective nature and specific inclusion criteria.
Participant Demographics
Mean age was 36.8 years, with 84% male and 16% over 50 years old.
Digital Object Identifier (DOI)
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