The Evolutionary Profile of Patients Operated for Peptic Ulcer Perforation in Bujumbura — Oak Academic Publishing
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The Evolutionary Profile of Patients Operated for Peptic Ulcer Perforation in Bujumbura
Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
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Department of Anesthesia-Resuscitations, Faculty of Health Sciences, Hope Africa University, Bujumbura, Burundi
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Department of Anesthesia-Resuscitation, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
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Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
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Department of Andro-Urology, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
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Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
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Department of Multi-Purpose Medicine, Easter Grand Hospital Francilien, Meaux, France
1 Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
2 Department of Anesthesia-Resuscitations, Faculty of Health Sciences, Hope Africa University, Bujumbura, Burundi
3 Department of Anesthesia-Resuscitation, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
4 Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
5 Department of Andro-Urology, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
6 Department of General and Gastro-Intestinal Surgery, Centre Universitaire de Recherche en Santé, Faculty of Medicine, University of Burundi, Bujumbura, Burundi
7 Department of Multi-Purpose Medicine, Easter Grand Hospital Francilien, Meaux, France
Background : The evolutionary profile of patients operated for peptic ulcer perforation in Bujumbura . Perforated peptic ulcer is a serious complication of peptic ulcer with potential ris k of grave complications. Aim: To study the early morbidity and mortality of surgery for peptic ulcer perforation in Bujumbura City Hall hospitals: Kamenge University Hospital Center (CHUK), Kamenge Military Hospital (HMK) and Prince Louis Rwagasore Clinic (CPLR). Patients and methods: This is a retrospective, descriptive and analytical study carried out in the three hospitals of Bujumbura over a period of three years from January 1, 2020 to December 31, 2022. It involved 57 cases (n = 57) of peptic ulcer perforation. Results: The frequency of surgery for peptic ulcer perforation was 2.7% with a mean age of 43.6 years +/- 15.3 years and a male predominance with a sex ratio of 3.7. Eight percent of patients presented with shock, 24.5% were smokers, and 67.9% had taken non steroidal anti-inflammatory drugs. The mean hospital stay was 15.2 days with a standard deviation of 12.1. The morbidity rate was 30.2%, 32% were classified in grade IIIb of the Clavien-Dindo Surgical Complications Scale. There were 9 deaths (17%). Seven patients who underwent surgery and received late consultations died. Conclusion: Surgery for peptic ulcer perforation remains an intervention associated with a high rate of morbidity and mortality in Bujumbura. Surgery for peptic ulcer perforation remains a procedure associated with a high morbidity and mortality rate in Bujumbura. The time before consultation was the only factor associated with early morbidity and mortality of Surgery for peptic ulcer’s perforations .
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