Profil Pasien Perforasi Gaster di RSUD Kolonel Abundjani Bangko pada Tahun 2020

Abstract

Background. Gastric perforation is one of the serious complications caused by a peptic ulcer, with the appearance of symptoms in the form of an acute abdomen that requires immediate treatment. Approximately 2 to 3% of all ulcers perforate which usually occurs in the anterior wall of the duodenum or stomach.
 Objective. To determine the profile of patients with gastric perforation due to peptic ulcer at RSUD Kolonel Abundjani Bangko.
 Method. This is descriptive study with a retrospective total sampling method. The target population is patients with a diagnosis of gastric perforation due to peptic ulcers in the period January-December 2020.
 Result. Total patients with gastric perforation in RSUD Kolonel Abundjani Bangko for the January-December 2020 period totaled 14 people. Male patients were more than female (64.3% vs. 35.7%), the age range of 50-59 years was slightly higher than patients aged over 60 years (50% vs. 42.9%). There was no difference in the number of patients who had and did not have a history of taking NSAIDs. The location of the pre-pyloric perforation (50%) was more common than in the major curvature (14.29), minor (21.43%), and corpus (14.29%). The diameter of the perforation was most commonly found 0.5-1 cm (85.71%) Total deaths were 3 out of 14 people (21.43%).
 Conclusion. There are more male patients with gastric perforation than female, and the age range of 50-59 years is more common. The location of the perforation was found mostly in the pre-pylorus, and the majority had a perforation diameter of 0.5-1 cm. The mortality rate was reported as 21.43%

Gastric Perforation Management in a 50-Year-Old Patient: A Case Study

“…Gastric perforation can be enforced from several symptoms, namely sudden pain, tachycardia, and tension in the abdominal wall. (Qorina, 2021) Those three markers of perforation are found on this patient, thereby supporting the diagnosis of gastric perforation.…”

“…Risk factors that cause gastric perforation are smoking habits, long-term use of NSAIDs, smoking, alcohol, two out of three risk factors are found in this patient. (Qorina, 2021) Gastric perforation is a complex penetration of the wall of the stomach, large intestine, small intestine resulting from leaking of contents from the intestine into the abdominal cavity. Perforation of the stomach develops into chemical peritonitis which is caused due to leakage of stomach acid into the abdominal cavity.…”

Laporan Kasus: Perforasi Gaster

“…prosedur intervensi, dan dapat terjadi secara spontan pada bayi baru lahir (1). Pasien laki-laki lebih banyak daripada perempuan, dan rentang usia 50-59 tahun lebih banyak ditemukan (2).…”

“…Perforasi ini sendiri menyumbangkan (70%) kematian dari seluruh kematian akibat penyakit ulkus peptikum. Diameter perforasi sering dihubungkan dengan tingkat mortalitas pasien (2).…”

“…Diagnosis dan tatalaksana yang tepat dibutuhkan untuk mencegah komplikasi bahkan kematian akibat kejadian ini. Kematian pada 30 hari pertama akibat perforasi ulkus peptikum berkisar hingga (20%), angka ini semakin meningkat seiring dengan meningkatnya usia pasien dalam menjalani operasi (12-47%) (2).…”