Factors effecting morbidity in typhoid intestinal perforation in children

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dc.contributor.authorÖnen, A
dc.contributor.authorDokucu, AI
dc.contributor.authorÇigdem, MK
dc.contributor.authorÖzturk, H
dc.contributor.authorOtçu, S
dc.contributor.authorYücesan, S
dc.date.accessioned2024-04-24T16:00:10Z
dc.date.available2024-04-24T16:00:10Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractTo determine the factors affecting morbidity in patients with typhoid intestinal perforation (TIP), 42 patients who had been operated upon for TIP between 1990 and 2000 were reviewed. The average age was 10.4 years, the male-to-female ratio 2.5/1. The mean interval from admission to operation was 6 h. Twenty-three children had multiple perforations. Primary closure (PC) was performed in 55% of the patients, ileostomy in 26%, and resection with anastomosis (RA) in 19%. Parenteral nutrition (PN) was available for 22 patients for an average of 9 days. Postoperative complications occurred more commonly in patients with delayed admission and/or severe peritonitis. Hospitalization was shorter and the postoperative complication rate lower in patients who received PN and in those who underwent ileostomy. None of the patients developed an enterocutaneous fistula. The 2 deaths (4.8%) resulted from overwhelming sepsis. The most significant factors affecting morbidity were prolongation of perforation-operation interval and severe peritonitis. No operative procedure is likely to be the best in all cases; therapy should be individualized. Ileostomy appears to be an effective procedure, particularly in patients with severe abdominal contamination and delayed presentation. The use of PN in addition to standard medical and surgical therapy in patients with TIP may be beneficial.en_US
dc.identifier.doi10.1007/s00383-002-0794-3
dc.identifier.endpage700en_US
dc.identifier.issn0179-0358
dc.identifier.issue8en_US
dc.identifier.pmid12598967
dc.identifier.scopus2-s2.0-0036920193
dc.identifier.scopusqualityQ2
dc.identifier.startpage696en_US
dc.identifier.urihttps://doi.org/10.1007/s00383-002-0794-3
dc.identifier.urihttps://hdl.handle.net/11468/14393
dc.identifier.volume18en_US
dc.identifier.wosWOS:000181679200012
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.relation.ispartofPediatric Surgery International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleFactors effecting morbidity in typhoid intestinal perforation in childrenen_US
dc.titleFactors effecting morbidity in typhoid intestinal perforation in children
dc.typeArticleen_US

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