Volume : 7, Issue : 5, May - 2018

A PROSPECTIVE STUDY OF PEPTIC PERFORATION IN BUNDELKHAND REGION IN REFERENCE TO PREVALENCE OF H. PYLORI PEPTIC PERFORATION

Dr. Albail Singh Yadav, Dr. Om Kumar Sharma, Dr. Vinod Kumar

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%"><b><span style="font-size:10.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-style:italic">Purpose</span></b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-font-style:italic">:</span><span style="font-size:10.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> The main aims of study were-Peptic perforation in reference to prevalence of H. pylori infection, <span style="color:black">age distribution of the patients with peptic perforation, sex distribution of H.pylori in peptic perforation, size and site of perforation, residential living of the patients. </span><b><span style="mso-bidi-font-style:italic">Method: </span></b>A total of 51 Patients who were diagnosed as a case of peptic perforations, were included in this prospective study conducted in the Department of surgery, Maharani LaxmiBai Medical College, Jhansi over a period of June 2015 to July. 2017. Proper history, preoperative assessment, intra-operative evaluation and biopsy were taken and Rapid ureas test (RUT) was done. <b style="mso-bidi-font-weight:normal"><span style="mso-bidi-font-style:italic">Results</span></b><span style="mso-bidi-font-style:&#10;italic">: </span>Highest incidence of perforated peptic ulcer was between 31 to 60 years, 70.58% of patients fell in this group. The mean age of presentation was 40 years. Male to female ratio in peptic perforation was 5:1. 70.58% patients were smokers and (60.78%) patients were drinker. 32 (62.74%) were rural and rest of 19 (37.25%) were urban residents. Size of perforation is less than 1 cm in 41 (80.39%) patients and 1 to 2 cm in 10 (19.60%) patients. In present study patients presenting with acute perforation of peptic ulcer, prevalence of H. pylori is 92.15%. <b style="mso-bidi-font-weight:normal">Conclusion:</b>In this study perforated peptic ulcers are clearly associated with H. pylori infection as a strong etiological factor. Most common peptic perforation was prepyloric perforation. Commonest age of presentation of peptic perforation in Bundelkhandregion was 30-60 years.</span><span style="font-size:10.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;MinionPro-Regular"> Three decades after the discovery of <i>Hp</i>, the etiologies of bleeding peptic ulcers are changing. However, diagnosis of <i>Hp</i>infection is still the first priority in these patients. Invasive RUT is most frequently used.</span><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black"><o:p></o:p></span></p>