Peritonitis – the Eastern experience
Author Information
Author(s): Gupta Sanjay, Kaushik Robin
Primary Institution: Department of Surgery Government Medical College and Hospital Chandigarh, India
Hypothesis
This paper aims to present the experience of the East in terms of the spectrum of secondary peritonitis seen, its common causes and outcomes.
Conclusion
Perforations of the gastroduodenum are the most common cause of peritonitis in the East, with varying mortality rates depending on the type of perforation.
Supporting Evidence
- Perforation of duodenal ulcers was the most commonly encountered perforation.
- Overall mortality ranges between 6–27%.
- Small bowel perforations accounted for 6–42% of cases.
- Mortality in gastroduodenal perforations is up to 11%.
- Typhoid ileal perforations have a high mortality rate, up to 60%.
Takeaway
Doctors studied many cases of belly infections in the East to find out what causes them and how often they happen. They found that holes in the stomach are the most common reason for these infections.
Methodology
A search of available English Language Literature was conducted to identify studies dealing with secondary peritonitis, predominantly from Asia, using Pubmed and Google.
Limitations
Only fifteen series were identified, and some studies were not considered truly representative of the overall spectrum of peritonitis.
Participant Demographics
The majority of studies were from India, with a few from Nepal, Sri Lanka, China, Japan, and Pakistan.
Digital Object Identifier (DOI)
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