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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 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.

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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.