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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1997  |  Volume : 2  |  Issue : 2  |  Page : 53-58

Gastro-intestinal perforations in children.


Department of Pediatric Surgery Govt. Medical College, Jabalpur, MP, India

Correspondence Address:
S Ekha
Department of Pediatric Surgery Govt. Medical College, Jabalpur, MP
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: In this article retrospective study of 148 gastrointestinal perforations in children admitted in the pediatric surgical ward of Govt. Medical College, Jabalpur, MP, India, from 1978 to 1997 were analysed. Commonest etiology encountered in this series was the category of unknown , followed by enteric, appendicular, traumatic, viral, tubercular and miscellaneous. Commonest site of perforation was ileum, followed by perforation at unknown site, appendix, jejunum, colon and Meckel's diverticulum. The maximum number of cases were between the age of 10 and 12 years. Male to female ratio was 1.5: 1. Peak incidence was found to be in the rainy season. There was no mortality in appendicular perforations. In the rest of the cases, least mortality was in the group which underwent simple repair and peritoneal drainage followed by resection and anastomosis. Maximum mortality was seen in the group of patients in whom only peritoneal drainage was done.






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