Thirty-day postoperative outcome of patients with non-traumatic gastroduodenal perforations in southwestern Uganda

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dc.contributor.authorOkidi, Ronald
dc.contributor.authorSambo, Vanusa D.
dc.contributor.authorOgwang, Martin D.
dc.contributor.authorMutiibwa, David
dc.contributor.authorBenitez, Noralis P.
dc.contributor.authorBongomin, Felix
dc.date.accessioned2022-04-29T15:37:14Z
dc.date.available2022-04-29T15:37:14Z
dc.date.issued2020
dc.description.abstractWe studied our 30-day postoperative outcomes in patients with non-traumatic gastroduodenal perforation (NTGDP) in Mbarara Regional Referral Hospital, southwestern Uganda. We conducted a one-year prospective study of patients who underwent exploratory laparotomy for suspected NTGDP between June 2016 and July 2017. Twenty-nine patients had NTGDP, the male-to-female ratio was 3:1 and median age was 60 years (range¼13–80 years). Most (83%) patients were negative for Helicobacter pylori on histology. One patient had a gastric adenocarcinoma. A total of 26 (90%) patients had Graham’s omentopexy performed. The 30-day mortality rate was 34%. Pyrexia at hospital admission, pre-surgical delay (> 72 h), preoperative shock and peritoneal contamination, were associated with higher mortality rates with preoperative shock being an independent predictor of mortality. H. pylori-negative NTGDP presents a unique challenge in our setting, affecting mainly middle-aged and elderly patients. One-third of our patients did not survive one month.en_US
dc.identifier.citationOkidi, R., Sambo, V. D., Ogwang, M. D., Mutiibwa, D., Benitez, N. P., & Bongomin, F. (2020). Thirty-day postoperative outcome of patients with non-traumatic gastroduodenal perforations in southwestern Uganda. Tropical Doctor, 50(1), 15-19. DOI: 10.1177/0049475519887654en_US
dc.identifier.other10.1177/0049475519887654
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/2997
dc.language.isoenen_US
dc.publisherTropical Doctoren_US
dc.subjectNon-traumatic gastroduodenal perforationen_US
dc.subject30-day outcomeen_US
dc.subjectSouthwestern Ugandaen_US
dc.titleThirty-day postoperative outcome of patients with non-traumatic gastroduodenal perforations in southwestern Ugandaen_US
dc.typeArticleen_US
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