Outcome of Non-operative Management of Perforated Peptic Ulcer Disease

Authors

  • Sanjana Sharmin Shashi Assistant Professor, Department of Surgery, Dr. Sirajul Islam Medical College and Hospital, Dhaka
  • AZM Shakhwat Hossain Professor of Surgery, Monno Medical College & Hospital, Dhaka
  • Debashish Bar Registrar, Department of Surgery, Dhaka Medical College Hospital, Dhaka
  • Ayesha Rahman Junior Consultant (Surgery), Dhaka Medical College Hospital, Dhaka
  • AFM Muntahi Reza Medical Officer, Sir Salimullah Medical College and Mitford Hospital, Dhaka
  • Muhammad Harun Ar Rashid Junior Consultant and Resident Surgeon, Sir Salimullah Medical College and Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/jss.v22i2.44072

Keywords:

Outcome, Non-operative management, Peptic ulcer disease

Abstract

Background: Peptic ulcer perforation management is still an enigma. Though the overall incidence has been reduced worldwide due to wide use of anti-ulcerants, still it is not uncommon. But there is a debate regarding its conservative management over surgical management.

Objective: To determine whether surgery could be avoided in selected patients with perforated peptic ulcer disease

Methods: This study was conducted in the department of Surgery of Sir Salimullah Medical College and Mitford Hospital during the period from 1st March 2016 to 31st August 2016. After approval from the institutional ethics committee, 30 patients of suspected perforated peptic ulcer disease were successively assigned in this study on clinical and radiological basis. All were given non-operative regimen up to 24 hours. Then they were closely monitored to see improvement of clinical condition or development of any complication. Non-operative treatment was abandoned if the patient failed to improve or deteriorated within 24 hours of non-operative treatment. The data were collected by active participation of patients’ interview in preformed data collection sheet. Results: The data analysis of 30 patients yielded that most of them (86.67%) recovered well after receiving non-operative management, whereas only 4 patients (13.33%) showed no progression and were treated by laparotomy. 73.08% patients with uneventful outcome left the hospital within 10 days of admission and the others were a little late to leave.

Conclusion: Patients with perforated peptic ulcer disease can be effectively treated by conservative approach in properly selected cases by proper monitoring under strict supervision of an experienced consultant.

Journal of Surgical Sciences (2018) Vol. 22 (2) : 95-98

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Published

2020-03-22

How to Cite

Shashi, S. S., Hossain, A. S., Bar, D., Rahman, A., Reza, A. M., & Rashid, M. H. A. (2020). Outcome of Non-operative Management of Perforated Peptic Ulcer Disease. Journal of Surgical Sciences, 22(2), 95–98. https://doi.org/10.3329/jss.v22i2.44072

Issue

Vol. 22 No. 2 (2018)

Section

Original Articles

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