REDUCING MORTALITY FROM PERFORATED PEPTIC ULCER IN NEPAL

Authors

  • Neil A. Strugnell Department of Surgery United Mission Hospital, Tansen UMN P.O. Box: 126, Kathmandu, Nepal.

DOI:

https://doi.org/10.31729/jnma.710

Abstract

ABSTRACT
A study was undertaken to compare mortality from perforated peptic ulcer before and after introduction of
pre-operative, intra-operative and post-operative measures to improve clinical care of patients affected by
this condition. Data was accrued prospectively over 6 months (24 patients) and compared with the previous
6 months of historical controls (27 patients). Mortality showed a trend towards improvement. (9/27 c.f. 3/
24, p=0.12 n.s., Fisher exact test). Based on these findings and changing ideas in regard to disease transmission
emerging from the recent literature, a framework for limiting mortality from perforated peptic ulcer in
Nepal is proposed.

Key Words: Perforation, peptic ulcer, Nepal, mortality reduction, Helicobacter pylori.

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Published

2003-01-01

How to Cite

Strugnell, N. A. (2003). REDUCING MORTALITY FROM PERFORATED PEPTIC ULCER IN NEPAL. Journal of Nepal Medical Association, 42(145), 11–17. https://doi.org/10.31729/jnma.710

Issue

Vol. 42 No. 145 (2003)

Section

Original Article

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