ETIOLOGY, MANAGEMENT, AND OUTCOMES OF TRAUMATIC GASTROINTESTINAL PERFORATION IN A TERTIARY CARE CENTER
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Keywords
Blunt abdominal trauma, Penetrating abdominal trauma, Gastrointestinal injury.
Abstract
Background: This study aimed to evaluate the causes, anatomical distribution, and management strategies for traumatic gastrointestinal perforations.
Methods: A prospective study was conducted in the Department of General Surgery at a tertiary care center. A total of 100 patients presenting with traumatic gastrointestinal injuries were enrolled.
Results: The majority of patients (52%) were aged 21–40 years, with a male predominance. Blunt abdominal trauma accounted for 66% of cases, with road traffic accidents (48%) and falls (38%) being the most common causes. The jejunum was the most frequently injured site (58%). Surgical management included primary closure in 66% of patients, resection with anastomosis in 14%, and ostomy in 20%.
Conclusions: Blunt abdominal trauma, particularly from road traffic accidents, is the leading cause of gastrointestinal perforation, with the jejunum most commonly affected. Early diagnosis and timely surgical intervention are crucial to reducing morbidity and mortality.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Yassir Mehmood
Department of General Surgery, Government Medical College, Rajouri.
Umbreen Nazir
Department of Physiology, Government Medical College, Rajouri.