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Factors Affecting Morbidity and Mortality Rates in the Management of Perforated Gastroduodenal Ulcer in Al-Yarmouk Teaching Hospital

,

Document Type : Research Paper

Abstract

BACKGROUND:
Peptic ulcer disease is still a common problem in the developing countries and peptic ulcer perforation is still a common surgical emergency worldwide especially in developing countries. 
OBJECTIVE:
Aim of this study is to assess the factors affecting morbidity and mortality in patients with peptic ulcer disease.
Study design
Materials and methods this prospective study recruited 56 patients with perforated ulcer who were managed in the emergency department in Al-Yarmuk Teaching Hospital in the period from November 2020 till December 2021.
RESULTS:
The mean age of patients was 39.4±15.8 years. Fifteen patients had co-morbidities. Overall morbidity and mortality rates were 14.3% and 8.9% respectively. Morbidity and Mortality rate was associated with advanced age, therapeutic delay and co-morbidities. Increased age and the delay in seeking medical treatment, life style habits, quality and quantity of intraperitoneal fluid and size                 of the ulcer. 
CONCLUSION:
Early diagnosis and management are important to reduce morbidity and mortality rates; an attention is still needed to be paid to elderly patients who also complain of other comorbidities.
 

Keywords

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Iraqi Postgraduate Medical Journal
Volume 23, Issue 2
April 2024
Page 238-245
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