Abstract
A hundred cases of enteric perforation, treated surgically by single- or double-layer closure, were studied prospectively. Mortality and morbidity rates were 10–18 and 37–42% and comparable in the two groups. The presence of preoperative shock was the single most important prognostic indicator observed in this study. Hence it is good closure of the perforation rather than single- or double-layer closure that determines the outcome in patients with enteric perforation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
REFERENCES
Gibney EJ: Typhoid perforation. Br J Surg 76:887–889, 1989
Richens J: Management of bowel perforation in typhoid fever. Trop Doct 21:149–152, 1991
Eustache JM, Kreis DJ: Typhoid perforation of the intestine. Arch Surg 118:1269–1271, 1983
Kim JP, Oh SK, Jarrett F: Management of ileal perforations due to typhoid fever. Ann Surg 181:88–91, 1975
Maurya SD, Gupta HC, Tiwari A, Sharma BD: Typhoid bowel perforation: a review of 264 cases. Int Surg 69:155–158, 1984
Mock CN, Amaral J, Visser LE: Improvement in survival from typhoid ileal perforation. Ann Surg 215:244–249, 1992
Gupta V, Gupta SK, Shukla VK, Gupta S: Perforated typhoid enteritis in children. Postgrad Med J 70:19–22, 1994
Meier DE, Imediegwu OO, Tarpley JL: Perforated typhoid enteritis: operative experience with 108 cases. Am J Surg 157:423–427, 1989
Archampong EQ: Tropical diseases of the small bowel. World J Surg 9:887–896, 1985
Chauhan MK, Pande SK: Typhoid enteric perforation. Br J Surg 69:173–175, 1982
Eggleston FC, Santoshi B: Typhoid perforation: choice of perforations. Br J Surg 68:341–342, 1981
Santillana M: Surgical complications of typhoid fever: enteric perforation. World J Surg 15:170–175, 1991
Archampong EQ: Operative treatment of typhoid perforation of the bowel. Br Med J 3:273–276, 1969
Khanna AK, Mishra MK: Typhoid perforation of gut. Postgrad Med J 60:523–525, 1984
Akoh JA: Prognostic factors in typhoid perforation. East Afr Med J 70:18–21, 1993
Dickson JAS, Cole GJ: Perforation of the terminal ileum: a review of 38 cases. Br J Surg 51:893–897, 1964
Keenan JP, Hadley GP: The surgical management of typhoid perforation in children. Br J Surg 71:928–929, 1984
Kizilcan F, Tanyel FC, Buyukpamukeu N, Hicsonmez A: Complications of typhoid fever requiring laparotomy during childhood. J Ped Surg 28:1490–1493, 1993
Paredes C, Cruz J, Diaz PJ, Prevost M: Prognostic factors in typhoid perforations. Rev Gastroenterol Peru 13:13–19, 1993
Shukla VK, Ojha AK, Pandey M, Pandey BL: Pentoxifyline in perforated peritonitis: results of a randomised, placebo controlled trial. Eur J Surg 167(8):622–624, 2001
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shukla, V.K., Sahoo, S.P., Chauhan, V.S. et al. Enteric Perforation—Single-Layer Closure. Dig Dis Sci 49, 161–164 (2004). https://doi.org/10.1023/B:DDAS.0000011620.56077.97
Issue Date:
DOI: https://doi.org/10.1023/B:DDAS.0000011620.56077.97