Dongo A E, Uhunmwagho O, Kesieme E B, Eluehike S U, Alufohai E F
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Ambrose Alli University, Ekpoma, Nigeria.
Int Sch Res Notices. 2017 Jun 1;2017:8375398. doi: 10.1155/2017/8375398. eCollection 2017.
Peptic ulcer perforation is a common cause of emergency admission and surgery. This is the first study that documents the presentation and outcome of management in Irrua, Nigeria.
This is a prospective study of all patients operated on for perforated peptic ulcer between April 1, 2010, and March 31, 2015. A structured questionnaire containing patients' demographics, operation findings, and outcome was filled upon discharge or death.
There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 17 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham's Omentopexy. Death rate was 17.3%.
We note that gastric perforation is a far commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify fasting amongst Christians as a risk factor for perforation.
消化性溃疡穿孔是急诊入院和手术的常见原因。这是第一项记录尼日利亚伊鲁阿地区该病临床表现及治疗结果的研究。
这是一项对2010年4月1日至2015年3月31日期间所有因消化性溃疡穿孔接受手术治疗患者的前瞻性研究。在患者出院或死亡时填写一份包含患者人口统计学信息、手术发现及治疗结果的结构化问卷。
共有104例患者，男性81例，女性23例（男∶女 = 3.5∶1）。年龄范围在17岁至95岁之间，平均年龄为48.99岁±标准差16.1岁。胃穿孔与十二指肠穿孔的比例为1.88∶1。62例（59.6%）患者穿孔是消化性溃疡病的首发症状。95例（91%）患者通过腹部平片可检测到气腹。72例（69.2%）患者接受了格雷厄姆网膜固定术。死亡率为17.3%。
我们注意到在我们的环境中胃穿孔是一种更为常见的疾病。穿孔往往是消化性溃疡病的首发症状。我们确定基督徒禁食是穿孔的一个危险因素。
