TITLE:
The Evolutionary Profile of Patients Operated for Peptic Ulcer Perforation in Bujumbura
AUTHORS:
Jean Claude Mbonicura, Prudence Bukuru, Stanislas Harakandi, Frank Ijeneza, Révérien Ndayirorere, François Nduwimana, Astère Mbonicura
KEYWORDS:
Peritonitis, Peptic Ulcer Perforation, Complications
JOURNAL NAME:
Surgical Science,
Vol.15 No.1,
January
16,
2024
ABSTRACT: 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 risk 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.