Assessment Of Management Of Giant Duodenal Ulcer Perforations With Triple Tube Ostomy

Abstract

Background: Perforated peptic ulcer (PPU) is a common life-threatening surgical emergency with mortality andduodenum is the commonest site followed by the antrum of the stomach and its lesser curvature. The present study was conducted to assess management of giant duodenal ulcer perforations with triple tube ostomy.
Materials & Methods: 75 patients of giant duodenal ulcer perforations of both gendersunderwent triple ostomy. Parameters such as time of presentation, length of hospital stay, post- operative complications and outcomes was recorded.
Results: Out of 75 patients, males were 45 and females were 30. The mean time of presentation was 86.2 hours, length of hospital stay was 11.4 days and Oral elementationday (POD) was 7.9. Post- operative complications were burst abdomen seen in 12 and wound infection in 5. Outcome was discharge satisfactorily in 61 and mortality in 14. The difference was significant (P< 0.05).
Conclusion: The triple tube procedure is very safe and effective method in management of giant duodenal ulcer.