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Clinical pattern of perforated prepyloric and duodenal ulcer at Ile-Ife, Nigeria.
- Source :
-
Tropical doctor [Trop Doct] 1998 Jul; Vol. 28 (3), pp. 152-5. - Publication Year :
- 1998
-
Abstract
- High morbidity and mortality often attend perforation of duodenal ulcer. Over a 6-year period at Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria, 22 patients presented with prepyloric or duodenal ulcer perforations--a relatively low yearly rate of about four. Of the 15 patients evaluated, approximately three-quarters were working class young men and eight (53%) had no ulcer history. The high morbidity, and 20% mortality rate, observed were attributable to late presentation and the presence of advanced bacterial peritonitis in 67% of the patients at admission. Imprecise clinical features in those with small perforations led to misdiagnosis in a third of cases. Treatment of perforations in the majority (93%) of patients was by simple closure or truncal vagotomy and pyloroplasty. An increase in patients' awareness of the potentials of optimal operative management should encourage earlier presentation.
- Subjects :
- Adolescent
Adult
Female
Humans
Male
Middle Aged
Nigeria epidemiology
Postoperative Complications epidemiology
Retrospective Studies
Risk Factors
Duodenal Ulcer epidemiology
Duodenal Ulcer physiopathology
Duodenal Ulcer surgery
Peptic Ulcer Perforation epidemiology
Peptic Ulcer Perforation physiopathology
Peptic Ulcer Perforation surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0049-4755
- Volume :
- 28
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Tropical doctor
- Publication Type :
- Academic Journal
- Accession number :
- 9700278
- Full Text :
- https://doi.org/10.1177/004947559802800309