Comparison of features and outcomes of perforated peptic ulcer between Malaysians and foreigners
- Author:
Kugan Vijian
;
Mahadevan Deva Tata
;
Kandasami Palayan
- Publication Type:Journal Article
- Keywords:
Peptic ulcer;
Perforated;
Foreigners;
Malaysia
- MeSH:
Peptic Ulcer
- From:
The Medical Journal of Malaysia
2016;71(1):12-16
- CountryMalaysia
- Language:English
-
Abstract:
Background: Perforated peptic ulcers (PPU) present as
serious surgical emergencies that carry high mortality and
morbidity. Foreigners with PPU are also managed in our
hospital setting. Their inclusion significantly alters the trend
and pattern of PPU seen in Malaysia.
Aim: To compare per-operative and post-operative features
and outcomes of perforated peptic ulcers between
Malaysians and foreigners.
Material and Methods: This was an analytical crosssectional
study. All patients who underwent repair of
perforated peptic ulcer disease during a 6-year period were
included. 50 consecutive patients’ records with perforated
peptic ulcer were analysed. Data were collected from
operation theatre database and hospital medical records.
Chi square and t test were performed using SPSS statistical
software.
Results: Total of 50 patients, of which 30 were Malaysians
and 20 were foreigners. The mean age of Malaysian patients
was 58.3 ± 15.2 years whereas the mean age for foreign
patients was 30.3 ± 6.7 years, with foreign patients being
significantly younger than local patients. Foreigners had
significantly smaller ulcers with only 5% of them having
ulcers more than 1cm while 36.7% of Malaysian patients had
ulcers more than 1cm. Post-operative complications are
significantly higher in Malaysian patients (p<0.05) with 40%
of Malaysian patients and 10% of foreign patients
developing post-operative complications.
Conclusion: Foreign patients are younger with significantly
smaller perforated ulcers and better post-operative
outcomes.
- Full text:P020160509457321896159.pdf
