Copyright
©The Author(s) 2017.
World J Gastrointest Surg. Jan 27, 2017; 9(1): 19-24
Published online Jan 27, 2017. doi: 10.4240/wjgs.v9.i1.19
Published online Jan 27, 2017. doi: 10.4240/wjgs.v9.i1.19
Table 1 Mean/median hematological/laboratory parameters (n = 20)
| Parameter | Mean/median ± SD | IQR (1st to 3rd) |
| Haemoglobin (g/dL) | 11.76 ± 2.59 | |
| Total leukocyte counts (/mm3) | 12550 | 4675 - 19425 |
| Platelet (× 105/mm3) | 1.80 ± 1.05 | |
| Blood urea (mg/dL) | 47.15 | 39.75- 67.5 |
| Serum creatinine (mg/dL) | 1.49 ± 0.68 | |
| Serum sodium (meq/L) | 135.7 ± 7.70 | |
| Serum potassium (meq/L) | 4.33 ± 0.90 | |
| pO2 (mmHg) | 93.8 ± 33.20 | |
| pH | 7.37 ± 0.07 |
Table 2 Pre-operative physiological profile
| Parameters | Mean ± SD |
| Temperature (°C) | 37.46 ± 0.87 |
| Mean arterial pressure (mmHg) | 78.40 ± 18.60 |
| Pulse rate (beats/minute) | 116.7 ± 20.63 |
| Respiratory rate (/minute) | 22.3 ± 2.77 |
| Pre-op APACHE-II score | 10.85 ± 3.55 |
Table 3 Postoperative course (n = 20)
| Observations | Postoperative days (mean/median) | Standard deviation OR IQR (1st-3rd) |
| Time to return bowel sounds | 3.53 | ± 0.91 |
| Time to start feeding via FJ | 4 | 4-5 |
| Time to start oral feed | 12 | 10.75-18.5 |
| Time of clamping of Gastrostomy | 9.87 | ± 3.75 |
| Time of clamping of RD | 13 | ± 4.18 |
| Time of removal of Gastrostomy | 13 | 12-16.5 |
| Time of removal of RD | 16 | 16.25-22.25 |
| Time of removal of FJ | 18 | 16.5-24 |
| Total hospital Stay | 22 | 19-26 |
| Wound healing time | 15.75 | ± 1.91 |
Table 4 Postoperative outcomes/complications n (%)
| Outcomes/complications | n = 20 |
| Surgical site infection | 9 (45) |
| Respiratory complications | 4 (20) |
| Peritubal leakage | 4 (20) |
| Peritubal excoriation | 2 (10) |
| Burst abdomen | 5 (25) |
| Bed sore | 2 (10) |
| Postoperative leak | 1 (5) |
| Mortality | 4 (20) |
Table 5 Comparison between age, gender, and intra-operative findings
| Study | Most common age group (yr) | Gender distribution (M:F) | Size of perforation | Site of perforation |
| Present study | 46-70 | 5.6:1 | 1.83 ± 0.59 | Prepyloric 45%, Duodenal 40% |
| Lal et al[6] | 30-50 | 4:1 | 60% 2 to 3 cm; 40% > 3 cm | |
| Jani et al[16] | 21-50 | 7.3:1 | > 2 cm | |
| Menekse et al[17] | 39-62 | 6.1:1 | 13% with > 1 cm | |
| Berleff et al[19] | 40-50 | 3.7:1 | ||
| Chaudhary et al[20] | 18-40 | 4.3:1 | > 1 cm in 7.29% | Duodenal 69.7%, Gastric 30.2% |
- Citation: Agarwal N, Malviya NK, Gupta N, Singh I, Gupta S. Triple tube drainage for “difficult” gastroduodenal perforations: A prospective study. World J Gastrointest Surg 2017; 9(1): 19-24
- URL: https://www.wjgnet.com/1948-9366/full/v9/i1/19.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v9.i1.19