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Gastro 2016
August 11-12, 2016
Volume 6, Issue 4(Suppl) J Gastrointest Dig Syst 2016
ISSN:2161-069X JGDS, an open access journal
conferenceseries .com
August 11-12, 2016 Birmingham, UK
6th Global Gastroenterologists Meeting
Muhammad S Niam, J Gastrointest Dig Syst 2016, 6:4(Suppl)
Acute non trauma gastric perforation: Operative vs. non operative
Muhammad S Niam
Brawijaya University, Indonesia
Background: Gastric perforation is around 25–30% of acute abdomen cases presented in emergency department, with highly
mortality and morbidity rate. Traditionally, laparotomy is believed as a gold standard. However, patients with ASA status ≥3
and Boey score ≥2 still had poor outcome. This research presented peritoneal drainage as an alternative to laparotomy for poor
prognostic patients.
Objective: To determine the success rate of the peritoneal drainage procedure in the poor prognostic patients of gastric
perforation cases in Saiful Anwar General Hospital Malang.
Method: Observational descriptive study was made in gastric perforation patients with the poor prognostics, determined by
Boey score ≥2 and ASA score ≥3, who underwent laparotomy and peritoneal drainage procedure in RS Syaiful Anwar Malang
in 2013. Using SPSS 17.0, the mortality in 30 days after each procedure was presented in crosstabulation and analyzed in
crossectional method.
Results: 42 gastric perforation patients were in the poor prognostics, 18 patients underwent peritoneal drainage (42.85%), of
them, 11 patients survived in for 30 days after the procedure (mortality rate = 38.89%). While of 24 patients who underwent
laparotomy (57.14%), only 5 patients survived (mortality rate = 79.16 %). The mortality rate in laparotomy group was greater
than peritoneal drainage group (OR: 5.971, CI :95).
Conclusion: In gastric perforation, patients with poor prognostics and peritoneal drainage have a better end result as compared
with laparotomy procedure.
Biography
Muhammad S Niam is General Surgeon, Consultant in Digestive Surgery, Endoscopic and Laparoscopic Surgeon. He is also a Lecturer and Medical Staff of
Saiful Anwar General Hospital, Brawijaya University School of Medicine, Malang, Indonesia. Apart from these, he is Chairman of Indonesian Society of General
Surgery of Malang Region, National Faculty Member of Indonesian Society of Endo-laparoscopic Surgery and National Faculty Member of Indonesian Society of
Coloproctology, and Committee of Asian Society of Colorectal Surgery.