Small-Bowel Perforations

Nadkarni, KM; Shetty, Suprajna; Kagzi, R. S.; Pinto, A.; Bhalerao, R A

doi:10.1001/archsurg.1981.01380130033008

Cited by 28 publications

(17 citation statements)

References 2 publications

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“…(8) The high incident in our series due to referred cases in the Cancer Center in our institute. Another aetiopathology was tuberculosis 10%, fairly comparable with the series of Nadkarni et al 9.3%. (9) P. Chaudhary et al 17%.…”

Section: Discussionsupporting

confidence: 85%

“…Another aetiopathology was tuberculosis 10%, fairly comparable with the series of Nadkarni et al 9.3%. (9) P. Chaudhary et al 17%. (10) Sushil et al 18.33%.…”

Section: Discussionsupporting

confidence: 85%

“…(8) and Nadkarni et al 25%. (9) The next common indication that required ileostomy was traumatic perforation 20%, while in series P. Chaudhary et al 12.8%. (10) Sushil et al 10%.…”

Section: Discussionmentioning

confidence: 95%

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Comprehensive Study of Ileostomy at a Tertiary Care Medical College Hospital

Udawat¹,

Parihar²,

Saxena³

2016

jemds

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Section: Discussionsupporting

confidence: 85%

“…Another aetiopathology was tuberculosis 10%, fairly comparable with the series of Nadkarni et al 9.3%. (9) P. Chaudhary et al 17%. (10) Sushil et al 18.33%.…”

Section: Discussionsupporting

confidence: 85%

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Comprehensive Study of Ileostomy at a Tertiary Care Medical College Hospital

Udawat¹,

Parihar²,

Saxena³

2016

jemds

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“…Management of these patients continues to be highly demanding despite the advances made in diagnosis and surgical therapy. The etiological spectrum of perforation peritonitis in India differs significantly from its western counter parts [3–5]. Our study was carried out to highlight the spectrum of perforation peritonitis (diffuse) in a single unit at Lok Nayak Hospital, a tertiary care hospital in Delhi.…”

Section: Introductionmentioning

confidence: 99%

Perforation Peritonitis and the Developing World

et al. 2014

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Background. Perforation peritonitis is the one of the commonest emergency encountered by surgeons. The aim of this paper is to provide an overview of the spectrum of perforation peritonitis managed in a single unit of a tertiary care hospital in Delhi. Methods. A retrospective study was carried out between May 2010 and June 2013 in a single unit of the department of Surgery, Lok Nayak Hospital, Delhi. It included 400 patients of perforation peritonitis (diffuse or localized) who were studied retrospectively in terms of cause, site of perforation, surgical treatment, complications, and mortality. Only those patients who underwent exploratory laparotomy for management of perforation peritonitis were included. Results. The commonest cause of perforation peritonitis included 179 cases of peptic ulcer disease (150 duodenal ulcers and 29 gastric ulcers) followed by appendicitis (74 cases), typhoid fever (48 cases), tuberculosis (40 cases), and trauma (31). The overall mortality was 7%. Conclusions. Perforation peritonitis in India has a different spectrum as compared to the western countries. Peptic ulcer perforation, perforating appendicitis, typhoid, and tubercular perforations are the major causes of gastrointestinal perforations. Early surgical intervention under the cover of broad spectrum antibiotics preceded by adequate aggressive resuscitation and correction of electrolyte imbalances is imperative for good outcomes minimizing morbidity and mortality.

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“…Nontraumatic spontaneous small-bowel perforation is rarely encountered in adults but can be fatal unless appropriate treatment is promptly initiated [1]. The causes of spontaneous small-bowel perforation are diverse.…”

Section: Introductionmentioning

confidence: 99%

Differential Diagnosis of Crohn's Disease and Intestinal Tuberculosis in Patients with Spontaneous Small-Bowel Perforation

Kim¹,

Kim²,

Jeong³

et al. 2014

Dig Surg

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Background/Aims: Spontaneous small-bowel perforation caused by Crohn's disease (CD) or intestinal tuberculosis (ITB) is a rare disease entity. We investigated the clinical features and radiologic findings of patients with CD or ITB who presented with a spontaneous small-bowel perforation. Methods: Between January 2001 and December 2010, sixty-two patients underwent surgery due to a spontaneous small-bowel perforation, including 21 (33.9%) CD patients and 18 (29.0%) ITB patients. Clinical and radiologic features were compared between CD and ITB patients. Results: The mean age was significantly lower in CD patients than in ITB patients (p = 0.014). Diarrhea was more common in CD. By contrast, night sweating and a previous history of tuberculosis were more common in ITB. Only 27.8% of patients with ITB had a positive QuantiFERON-TB Gold test. CT findings such as bowel wall thickening of more than 10 mm, omental thickening, and intra-abdominal lymphadenopathy larger than 10 mm were more common among perforations caused by ITB. Mesenteric fat infiltration was a more frequent finding in CD than in ITB. Conclusions: Clinical symptoms and radiologic findings may aid in the differential diagnosis between CD and ITB in patients presenting with spontaneous small-bowel perforation.

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Small-Bowel Perforations

Cited by 28 publications

References 2 publications

Comprehensive Study of Ileostomy at a Tertiary Care Medical College Hospital

Comprehensive Study of Ileostomy at a Tertiary Care Medical College Hospital

Perforation Peritonitis and the Developing World

Differential Diagnosis of Crohn's Disease and Intestinal Tuberculosis in Patients with Spontaneous Small-Bowel Perforation

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