Table of Contents
International Scholarly Research Notices
Volume 2017, Article ID 8375398, 6 pages
https://doi.org/10.1155/2017/8375398
Research Article

A Five-Year Review of Perforated Peptic Ulcer Disease in Irrua, Nigeria

1Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria
2Ambrose Alli University, Ekpoma, Nigeria
3Department of Radiology, Irrua Specialist Teaching Hospital, Irrua, Nigeria

Correspondence should be addressed to A. E. Dongo; ku.oc.oohay@ognodea

Received 23 December 2016; Accepted 3 April 2017; Published 1 June 2017

Academic Editor: Roberto Cirocchi

Copyright © 2017 A. E. Dongo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Peptic ulcer perforation is a common cause of emergency admission and surgery. This is the first study that documents the presentation and outcome of management in Irrua, Nigeria. Patients and Method. This is a prospective study of all patients operated on for perforated peptic ulcer between April 1, 2010, and March 31, 2015. A structured questionnaire containing patients’ demographics, operation findings, and outcome was filled upon discharge or death. Results. There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 17 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham’s Omentopexy. Death rate was 17.3%. Conclusion. We note that gastric perforation is a far commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify fasting amongst Christians as a risk factor for perforation.