A total of 70 young patients were evaluated having peptic ulcer perforation. In this study of peptic ulcer perforation in young patients (12–40 years), those who attended surgery out patient department (OPD)/casualty department of a tertiary care center in central India were included. Role of Helicobacter pylori eradication in preventing ulcer relapse.The aim of the present study was to study the various risk factors for PUD and perforation in young patients.The present study was done with the following aims and objectives: Antisecretory and antihelicobacter drugs have an important role in postoperative care following few procedures than definitive surgery. A “deliberate approach,” where not in all patients require definitive surgery is detailed and this may lead to increasing role for laparoscopic perforation sealing techniques. 3 Years ago, most discussion was on whether urgent definitive surgery is most effective therapy nowadays, there is a tendency to have less invasive procedure and measure. Older age of the presentation, increased association with nonsteroidal antiinflammatory drugs (NSAIDs), associated increased morbidity, the resulting higher mortality in elderly is making people rethink the management protocol. 2 There is a changing scene with perforated peptic ulcer in terms of clinical presentation and management. 1 In India, according to the frequency of occurrence, peptic ulcer perforation is the second most common acute abdominal surgical emergency after acute appendicitis. The incidence and prevalence of duodenal ulcers has decreased in the last four decades in western countries. Peptic ulcer disease (PUD) occurs in young and old patients all over the world and its management remains a real challenge to the medical profession. Keywords: Endoscopy, Helicobacter pylori, Peptic, Perforation, Ulcer. Routine endoscopic examination of such patients should also form a part of the follow-up to look for ulcer healing postoperatively.

The patients were categorized on the basis of their clinical symptoms and endoscopy results at the follow-up of 6 months in 4 categories-21 patients having an active ulcer and symptomatic, 15 patients having active ulcer but no symptoms, 16 patients who were asymptomatic and without an active ulcer and 5 patients nonulcer dyspepsia.Ĭonclusion: Postoperative treatment with H 2 blockers or proton pump inhibiters along with anti- Helicobacter pylori regimen should be prescribed for all patients with peptic ulcer perforation. Maximum patients were from the age group of 35–40 years.

Out of the remaining 57 patients, 56 were men and 1 was a woman. Results: Out of the total 70 patients, there was a mortality of 5 patients and 7 patients were lost to follow-up. Materials and methods: Seventy patients were evaluated in this study and were followed up with clinical examination and endoscopy at 8 weeks and 6 months. This study was conducted with the aim of identifying risk factors in peptic ulcer disease (PUD) in young patients. Euroasian J Hepato-Gastroenterol 2019 9(2):91–95.īackground: Perforation peritonitis is one of the commonest encountered emergencies in the surgery casualty. A Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central India. Euroasian Journal of Hepato-Gastroenterology Volume 9 | Issue 2 | Year 2019Ī Prospective Clinicoendoscopic Follow-up Study in Young Patients with Peptic Ulcer Perforation at a Tertiary Institute in Central Indiaĭeepa Jahagirdaar 1, Nitin Bomanwar 2, Sneha Joshi 3ġ,3Department of General Surgery, Government Medical College and Hospital, Nagpur, Maharashtra, India 2Department of Surgical Oncology, Kingsway Hospitals, Nagpur, Maharashtra, IndiaĬorresponding Author: Nitin Bomanwar, Department of Surgical Oncology, Kingsway Hospitals, Nagpur, Maharashtra, India, Phone: +91 9909021131, e-mail: to cite this article Jahagirdaar D, Bomanwar N, Joshi S.

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