№ files_lp_4_process_2_47793
Review of clinical and surgical outcomes in patients with ileal perforation highlights causes, epidemiology, stoma complications, and mortality associated with delayed intervention.
Year: 2023
Region / Country: Global data with emphasis on developing countries
Subject: Ileal perforation, stoma complications, enteric fever, tuberculosis
Document Type: Medical review article
Institution / Organization: Surgical departments and hospitals cited in studies
Authors: Multiple cited studies (Wani et al., Dasgupta et al., Kim et al., Khanna et al., Kapoor et al.)
Target Audience: Surgeons, gastroenterologists, medical researchers
Causes: Typhoid fever, tuberculosis, Crohn’s disease, celiac disease, NSAIDs, neoplasms, trauma, foreign body, radiation enteritis
Complications: Wound infection, wound dehiscence, fecal fistula, paralytic ileus, burst abdomen, abscess, septicaemia, stoma-related complications (prolapse, retraction, ischemia, stenosis, parastomal hernia, bleeding, fistulation)
Surgical Interventions: Primary repair, resection and anastomosis, ileostomy, ileo-transverse anastomosis, single-layer repair with omental patch
Epidemiology: Peak incidence during May–September or August–November, male predominance, terminal ileum most affected
Mortality Rate: 9.9%–variable depending on timing of surgery and method
Diagnosis: Clinical and operative findings, history of remittent fever, Widal test titers
Treatment Considerations: Degree of contamination, patient condition, delay in presentation
Price: 8 / 10 USD
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