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Jhobta, Rajender Singh; Attri, Ashok Kumar; Kaushik, Robin; Sharma, Rajeev; Jhobta, Anupam

doi:10.1186/1749-7922-1-26

Cited by 115 publications

(54 citation statements)

References 8 publications

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“…Worldwide there is a predominance of males presenting with this life-threatening disease [11,12]; our series also shows a similar trend, with a male to female ratio of 3.3:1.…”

Section: Discussionsupporting

confidence: 79%

An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan

et al. 2012

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ObjectivePeritonitis is the most common life threatening surgical emergency, which requires urgent surgical intervention and is a significant cause of morbidity and mortality. The objective of this study was to highlight the frequency of secondary peritonitis and to analyze the site and causes of perforation, in our tertiary care setup.MethodsA retrospective analysis of 311 patients of secondary peritonitis was done from July 2008 to June 2010 at Liaquat University Hospital Jamshoro, Hyderabad, Sindh, Pakistan. All cases found to have peritonitis as a result of perforation of any part of gastrointestinal tract at the time of surgery were included in the study. All cases with either primary peritonitis or that due to anastomotic dehiscence were excluded.ResultsA total of 311 patients were studied. Most of the patients were males (77%) and (89%) were in the third and fourth decades of life. Majority of the patients presented with pain (97%) associated with bowel symptoms. Most common site of perforation was small bowel (ileal 59%, jujenal 2%). In this series, most common risk factor of perforation was typhoid (43%). Ileostomy was the most commonly performed procedure. Overall morbidity was 48.5% and mortality was 17%.ConclusionConsidering the relatively higher rate of typhoid perforation quoted in this study, it is vital that typhoid fever ought to be eliminated by improved sanitation and immunizing programmes, otherwise surgeons will be confronted with its complications.

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“…Worldwide there is a predominance of males presenting with this life-threatening disease [11,12]; our series also shows a similar trend, with a male to female ratio of 3.3:1.…”

Section: Discussionsupporting

confidence: 79%

An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan

et al. 2012

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“…In most of the studies from Asia, mean age of the patients presenting with ileal perforation is around 35 to 40 years and the findings in the present study were the same [1, 15–17]. According to Mock et al, morbidity and mortality increase as age advances possibly due to comorbidities and poor immunity [18].…”

Section: Discussionsupporting

confidence: 70%

“…The spectrum of aetiology of perforation in tropical countries continues to be different from its Western counterpart. In contrast to Western countries where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India [1]. Spontaneous ileal perforation remains a formidable surgical condition in developing countries.…”

Section: Discussionmentioning

confidence: 99%

“…In most of the studies, male patients contributed more than 75% of total cases [1, 15–17]. This is possibly because males indulge in outdoor activities and are more prone to GI infections and its attendant complications including perforation peritonitis.…”

Section: Discussionmentioning

confidence: 99%

“…Ileal perforation peritonitis is a frequently encountered surgical emergency in the developing countries [1]. Typhoid is the most common cause for this dreaded complication while tuberculosis, trauma, and nonspecific enteritis follow close suit [2].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Audit of Patients with Ileal Perforations Requiring Ileostomy in a Tertiary Care Hospital in India

Verma

Pandey

Sheoran

et al. 2015

Surgery Research and Practice

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Introduction. Ileal perforation peritonitis is a frequently encountered surgical emergency in the developing countries. The choice of a procedure for source control depends on the patient condition as well as the surgeon preference. Material and Methods. This was a prospective observational study including 41 patients presenting with perforation peritonitis due to ileal perforation and managed with ileostomy. Demographic profile and operative findings in terms of number of perforations, site, and size of perforation along with histopathological findings of all the cases were recorded. Results. The majority of patients were male. Pain abdomen and fever were the most common presenting complaints. Body mass index of the patients was in the range of 15.4–25.3 while comorbidities were present in 43% cases. Mean duration of preoperative resuscitation was 14.73 + 13.77 hours. Operative findings showed that 78% patients had a single perforation; most perforations were 0.6–1 cm in size and within 15 cm proximal to ileocecal junction. Mesenteric lymphadenopathy was seen in 29.2% patients. On histopathological examination, nonspecific perforations followed by typhoid and tubercular perforations respectively were the most common. Conclusion. Patients with ileal perforations are routinely seen in surgical emergencies and their demography, clinical profile, and intraoperative findings may guide the choice of procedure to be performed.

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Abdominal Tuberculosis: Pathogenesis, Clinical Features, and Diagnosis

Gupta¹

2023

Integrated Science

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Untitled

Cited by 115 publications

References 8 publications

An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan

An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan

Surgical Audit of Patients with Ileal Perforations Requiring Ileostomy in a Tertiary Care Hospital in India

Abdominal Tuberculosis: Pathogenesis, Clinical Features, and Diagnosis

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