Characteristic of Gastric Perforation Type and The Histopathology at Haji Adam Malik General Hospital Medan-Indonesia

Koto, Kamsir; Asrul, Asrul; Muradi, Akhmadu

doi:10.15562/bmj.v5i1.325

Cited by 6 publications

(6 citation statements)

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“…This is in accordance with the previous theory which states that gastric perforation is rare under 40 years of age, with a peak incidence at 55-65 years of age. 10 It has also been reported that age more than 60 years was the main risk factor affecting outcome, postoperative mortality in the elderly was 3 to 5 times higher. 2 Patients older than 65 years were associated with a higher mortality rate when compared to younger patients (37.7% vs 1.4%).…”

Section: Resultsmentioning

confidence: 95%

Correlation Between Candidiasis And Mortality In Gastric Ulcer Perforation Patients

Sulistiyani

Budipramana

Endraswari

2021

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Background: Gastric ulcer disease remains the most common gastrointestinal disease. This affects about 4 million people every year worldwide with an incidence of 1.5%-3% and 2-14% of these will progress to perforation. Mortality is reported in 30% of cases and caused morbidity in 50% of patients. Some studies have suggested that mortality in patients with peritonitis accompanied by candidiasis ranges from 20%-75%, whereas others have argued that the presence of fungal isolates in patients with perforated peptic ulcer does not affect the outcome. A recent study reported an incidence of 45% of patients peptic ulcer perforation cases accompanied by candidiasis in Dr. Soetomo General Hospital Surabaya in 2019.Methods: This was a cross sectional study based on medical record data of patients with gastric ulcer perforation accompanied by candidiasis who underwent laparotomy and gastric repair surgery at Dr. Soetomo General Hospital Surabaya from January 2019 to December 2020.Results: There was no significant correlation between candidiasis and mortality in gastric ulcer perforation patients (p=0.989).Conclusion: Candidiasis does not increase mortality in patients with gastric ulcer perforation.

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Section: Resultsmentioning

confidence: 95%

Correlation Between Candidiasis And Mortality In Gastric Ulcer Perforation Patients

Sulistiyani

Budipramana

Endraswari

2021

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“…3 As with NSAIDs, disruption of the balance of the lining of the gastric mucosa occurs in several ways; decreased mucus production as a factor in gastric protection, disruption of gastric acid production, and inhibition of COX-1, which causes vasoconstriction so that vascularity is not optimal which can cause necrosis of epithelial cells. 6 Meanwhile, based on surgery reports, the perforations are mostly located in 1-5 cm prepylorus. According to its anatomical location, the stomach is divided into several parts, ranging from cardia, fundus, corpus, antrum, and pylorus.…”

Section: Discussionmentioning

confidence: 99%

Characteristic of Patients with Gastric Perforation due to Peptic Ulcer in Dr. Soetomo General Hospital Surabaya in the Period of January - December 2016

Agustin

Putro

Purbayu³

2019

JBN

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Aim: This study aims to study the profile of patients with gastric perforation caused by peptic ulcer. Method: This is a retrospective study by obtaining patients data from medical records in the Medical Record Centre of Dr. Soetomo General Hospital during the period of January - December 2016 and analyzed descriptively. Result: 66 patients were identified (45 male and 21 female), most of them were between age 60 - 69 years old, and live in Surabaya (45.45%). 30.3% of patients No malignancy was found during the anatomic-pathological examination. 30.3% of patients have a long term NSAID taking, while 53.03% of patients came with a habit of traditional medicine consumption. Perforations were mostly located 1 - 5 cm pre-pyloric and between the range 0.5 - 1 cm in diameter (56.6% and 69.7%, respectively). Conclusion: With the lack of information, it still needs further studies with more completed data for better accuracy.

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“…A study by Asefa and Geyesus 16 demonstrated history of smoking in 82.8% of their study population. Kamsir et al 17 provided definite conclusion regarding the relation between alcohol consumption and peptic ulcer perforation. Doll et al 18 and Svanes et al 9 have implicated in their respective studies that smoking is not only involved in the pathogenesis of peptic perforation and PUD but also that smokers have been found to have ulcers more frequently than nonsmokers.…”

Section: Relation With Alcohol/smokingmentioning

confidence: 96%

A Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central India

Jahagirdaar¹,

Bomanwar²,

Joshi³

2017

Euroasian Journal of Hepato-Gastroenterology

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Background: Perforation peritonitis is one of the commonest encountered emergencies in the surgery casualty. This study was conducted with the aim of identifying risk factors in peptic ulcer disease (PUD) in young patients. Materials and methods: Seventy patients were evaluated in this study and were followed up with clinical examination and endoscopy at 8 weeks and 6 months. Results: Out of the total 70 patients, there was a mortality of 5 patients and 7 patients were lost to follow-up. Out of the remaining 57 patients, 56 were men and 1 was a woman. Maximum patients were from the age group of 35-40 years. The patients were categorized on the basis of their clinical symptoms and endoscopy results at the follow-up of 6 months in 4 categories-21 patients having an active ulcer and symptomatic, 15 patients having active ulcer but no symptoms, 16 patients who were asymptomatic and without an active ulcer and 5 patients nonulcer dyspepsia. Conclusion: Postoperative treatment with H 2 blockers or proton pump inhibiters along with anti-Helicobacter pylori regimen should be prescribed for all patients with peptic ulcer perforation. Routine endoscopic examination of such patients should also form a part of the follow-up to look for ulcer healing postoperatively.

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Characteristic of Gastric Perforation Type and The Histopathology at Haji Adam Malik General Hospital Medan-Indonesia

Cited by 6 publications

References 0 publications

Correlation Between Candidiasis And Mortality In Gastric Ulcer Perforation Patients

Correlation Between Candidiasis And Mortality In Gastric Ulcer Perforation Patients

Characteristic of Patients with Gastric Perforation due to Peptic Ulcer in Dr. Soetomo General Hospital Surabaya in the Period of January - December 2016

A Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central India

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