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Peritonitis in India--a decade's experience

L N Dorairajan1, S Gupta, S V Deo

  • 1Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi.

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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This study analyzed 250 surgical peritonitis cases in New Delhi. Upper gastrointestinal perforations were most common, and outcomes were comparable to Western countries, possibly due to a younger patient demographic.

Area of Science:

  • Surgical emergencies
  • Gastroenterology
  • Tropical medicine

Background:

  • Generalized peritonitis is a significant surgical emergency with varying characteristics globally.
  • The clinical spectrum of peritonitis in tropical regions often differs from Western populations.
  • Understanding these differences is crucial for effective surgical management.

Purpose of the Study:

  • To analyze the surgical management and outcomes of generalized peritonitis in a New Delhi referral unit.
  • To compare the etiological spectrum and patient demographics with Western series.
  • To identify factors influencing prognosis in this specific population.

Main Methods:

  • Retrospective analysis of 250 surgical peritonitis cases managed over a decade.

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  • Data collection included patient demographics, etiology of peritonitis, management strategies, and outcomes.
  • Comparison with available Western literature.

    • Main Results:

    • Upper gastrointestinal tract perforations (e.g., duodenal ulcer, enteric perforations) were the predominant cause, unlike in Western series where lower GI perforations are more common.
    • Despite significant delays in presentation, overall prognosis was comparable to Western figures.
    • A younger patient age group was observed, potentially contributing to better outcomes.

    Conclusions:

    • The etiological profile of peritonitis in New Delhi differs significantly from Western countries, with a higher incidence of upper GI perforations.
    • Delayed presentation did not adversely affect prognosis as much as expected, suggesting resilience in the local patient population.
    • The younger demographic may play a role in achieving comparable outcomes to Western series despite differing etiological factors and presentation delays.