Experience of peptic ulcer perforation over a decade in a teaching hospital of southern Bangladesh.
OBJECTIVE
To determine disease characteristics, check the treatment status and compare outcome with other series.


METHODS
A retrospective study in a single unit of the Department of Surgery of Khulna Medical College Hospital, south west Bangladesh.


METHODS
After diagnosis by clinical and radiological examination, 491 patients were treated during the period July 1992 to November 2002. Two options of treatment were carried out: simple closure and peritoneal lavage in 364 cases, and 127 patients managed by non-surgical methods.


METHODS
mortality and morbidities.


RESULTS
Male:female ratio was 445:46, average age 43 years. Mortality in the surgical group was 6.8% and in the non-surgical group 0.02%.


CONCLUSIONS
Perforated peptic ulcer is prevalent even after the wide use of H2 receptor antagonists. Strict case selection for surgical and non-surgical treatment has reduced mortality. These results support the case for non-operative treatment and for conservative surgery.
Rahuman
Md Mizanur
MM
Department of Surgery, Khulna Medical College, Khulna 9000, Bangladesh. mizansk7@khulna.bangla.net
Saha
Ashish Kumar
AK
Rahim
Abdur
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001459:Bangladesh; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies; D016896:Treatment Outcome