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

Abstract

Background/aims : The perforated peptic ulcer  is a  common  complication  of  peptic  ulcer disease, it  has a  major impact  in healthcare  system  and  is  always  interesting  for  the  surgeons.  Objective :  To  evaluate  the  morbidity,  mortality  and  operative  risk  factors  in  perforated  peptic  ulcer  patients at  Somdejpraphuttalertla Hospital Patients. Methods  :  The Retrospective  analytic  study  was performed in  112  patients  those were  operated  in  Somdejpraphuttalertla Hospital  during Jury, 2000 and  September, 2004.  Results : The morbidity  rate  was  28.6%,  16%  was wound complication, 8% was pulmonary  complication , the  mortality  rate  was  9.8%.  The  age > 60 years,  duration  of  perforation > 24 hr.,  coexisting medical  disease, preoperative  shock  and  simple  suture  were  significant  factors  associated  with   morbidity   and  mortality. Female  morbidity  was  greater  than  male.  There  was  no  difference  in  mortality  and  morbidity  in  site  of  perforation.  Conclusion :  The operative  risk factors  were  age >  60 years,  duration  of  perforation >  24 hr., preoperative  shock,  coexisting  medical  disease  and  simple  suture technique.