Risk Factors in Surgical Management of Perforated Peptic Ulcer : 4 Years Study at Somdejpraputhalertla Hospital

Abstract

Background/aims : Peptic ulcer perforation is a common complication of peptic ulcer disease, it has a major impact in health care system. Most patients need surgical management.

Objective : To evaluate the morbidity, mortality and operative risk factors in perforated peptic ulcer patients at Somdejpraputhalertla Hospital.

Patients and Methods : Retrospective analytic study was performed in 112 patients operated in S0mdejpraphuthalertla Hospital during October, 2001 and September, 2005.

Results : The morbidity rate was 28.6%, 16% wound complication, 8% pulmonary complication. The mortality rate was 9.8%. The age > 60 years, duration of perforation > 24 hr., coexisting medical disease and preoperative shock were significant factor associated with morbidity and mortality. Female morbidity was greater than male. There was no difference in mortality and morbidity in site of perforation.

Conclusion : Operative risk factors were age > 60 years, duration of perforation > 24 hr. preoperative shock and coexisting medical disease.