Background: Peptic ulceration is one of the major health problem encountered all around the world. Peptic ulcers are associated with complications like bleeding, perforation and obstruction with perforation being the most frequent complication. Objectives of current study were to compare the efficacy of MPI and Boey score in predicting the morbidity and mortality of patients with perforated peptic ulcer in a tertiary health care center in Bangalore which helps in stratification of the patients into different categories based on the likelihood of morbidity and mortality for more appropriate intensive care and management.Methods: A prospective observational study was conducted in a span of 9 months in the department of general surgery in Bangalore medical college and research institute. All the patients over 18 years with perforated peptic ulcer peritonitis who underwent laparotomy were included in the study. Data was appropriately tabulated; MPI and Boey score calculated and statistically analysed to predict morbidity and mortality of the patients.Results: Total number of subjects in this study was 75. Mean age was 44.53 years. Overall mortality was 32% (24 patients). Most common complication noted in this study was surgical site infection followed by pulmonary complications.Conclusions: Both MPI and Boey score were accurate in predicting the morbidity and mortality in PPU with higher scores having increased risk of morbidity and mortality. However, Boey score was more specific in predicting mortality and it can be used pre-operatively in predicting morbidity and mortality when compared to MPI which requires intra-operative findings for prediction.
Background: Acute mesenteric ischemia is a rare abdominal emergency and is associated with high rates of morbidity and mortality. COVID-19 infection has also been described to predispose to venous and arterial thromboembolism. The mortality rate of AMI in COVID-19 is still unknown, yet it is likely to contribute significantly to an increased burden of disease Aim and objective were to determine the occurrence of mesenteric ischemia in patients with history of COVID-19 infection in a tertiary health care centre in Bangalore.Methods: This is a retrospective observational study conducted in the department of general surgery in Bangalore medical college and research institute, Bangalore over a period of 3 months from October 2021 to December 2021. A total of 15 patients who presented to the emergency department and was diagnosed to have mesenteric ischemia were included in the study.Results: Total of 15 patients were included in the study. Mean age of the patients was 41.86 years. 5 patients had history of being tested positive for COVID-19 and another 3 of the patients had history of being symptomatic or coming in contact with a COVID-19 patient but was not tested.Conclusions: Knowledge of occurrence of mesenteric vessel thrombosis in patients with history of COVID-19 infection is essential for the health care workers and the patients and their attenders for timely consultation, diagnosis and management.
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