A STUDY OF CHANGES IN STOMACH WALL AT THE SITES OTHER THAN PERFORATED DUODENAL ULCER IN DUODENUM ULCER PATIENT IN PATNA MEDICAL COLLEGE, PATNA

Dr. Birendra Prasad, Dr. Ram Naresh Yadav, Dr. Mohammad Nehal ahmad, Dr. Ashraf Ali

Abstract


Background:-

Every year peptic ulcer disease affects 4 million people around the world. Complications are encountered in 10%-20% of these patients and 2%-14% of the ulcers will perforate. Perforated peptic ulcer is relatively rare, but life-threatening with the mortality varying from 10% to 40%. This study was done to study the changes in stomach wall at the sites other than perforated duodenal ulcer in duodenum ulcer patient. Materials and methods-In this study, 50 cases were included. Study was done in surgery department of Patna Medical College & Hospital, Patna, Bihar from 2011 to 2014. Thorough examination, investigations and surgeries were performed. The group included both males and females. Results: it was found that 12 (24 %) number of cases male had history of duodenal ulcer in his family. In 10 (20 %) of female cases had family history of duodenal ulcer. Maximum no. of cases 27 (54%) were smokers. 16 (32 %) cases were alcoholic. 36 (72 %) had history of use of NSAIDS intake of NSAIDS in the past.6(12%) had gastric ulcer, 3(6%) had gastric ulcer scar , 10 patient (20%) had erosive gastritis, 4 patients (8%) had multiple small red patch, 3patient (6%) had comb like redness and 24 patient( 48%) had no gastric lesion. This shows that there is significant number of patient had associated gastric lesion that is 52%.


Keywords


duodenal ulcer, perforations, endoscopy, gastritis, smokers

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References


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