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Abstract
EPIDEMIOLOGICAL PATTERNS AND RISK FACTORS OF PERFORATED DUODENAL ULCERS IN IRAQI PATIENTS: A PROSPECTIVE STUDY
*Saif Mundher Ismael, Nabeel Ragi Mohey, Abdulaziz Abood Majeed
ABSTRACT
Background: Peptic ulcers are one of the common GIT diseases, medical treatment modified the disease and still complications are prevalent, many patterns of the disease presentation seen according to the prevalent risk factor and changed accordingly. Aim of study: To evaluate different presentations, risk factors, treatment options and outcomes in patients diagnosed with perforated duodenal ulcer. Patients and Methods: A prospective descriptive study conducted at the surgical department for a period of two years from October 2023 and October 2025. It included 84 patients who were presented to the surgical emergency ward and then diagnosed with perforated duodenal ulcer. Data were collected from patients as history regarding personal data: age, sex, chief complaint, duration and onset of pain, previous history of peptic ulcer and history of drugs use such as NSAIDs, steroid and proton pump inhibitors. All patients were managed by resuscitation followed by urgent surgery; the type of surgery was simple closure with omental patch and peritoneal toilet with drainage, no definitive ulcer operation done. Result: In this study, the mean age was 40.63 ± 12.5 years. Highest incidence of perforated duodenal ulcer was in winter. The use of NSAID by the patients found 54.7%. The most common patients with perforated duodenal ulcer had blood group O. The use of alcohol was found in 18 male patients. Most common site of perforation was the duodenal bulb (1st part) (85.7%). Graham’s omental patch procedure was done in most cases (88.1%). Postoperatively, 82.1% of patients didn’t complain from any complication and only 7.1% complained from wound infections, and the mean hospitalization period was 7.8±3.4. Conclusion: The pattern of perforated duodenal ulcer in Iraqi patients is different than other countries especially western countries. Age and stress factors play important role in our patients.
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