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Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin

Received: 24 December 2017     Accepted: 15 January 2018     Published: 19 February 2018
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Abstract

Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1st January 2014 – 30th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.

Published in Journal of Surgery (Volume 6, Issue 1)
DOI 10.11648/j.js.20180601.16
Page(s) 29-32
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Non-Traumatic Intestinal Perforation, Prognostic Factor, Age, Multiple Perforations, Digestive Fistula

References
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[2] Ouangre E, Zida M, Bonkoungou PG, Sanou A, Traore SS. Les péritonites aigües généralisées en milieu rural au Burkina Faso: à propos de 221 cas. Rev. Cames Santé. Décembre 2013; 1 (2):75-9.
[3] Harouna YD, Abdou I, Saidou B, Bazira L. Les péritonites en milieu tropical: Particularités étiologiques et facteurs pronostiques actuels - A propos de 160 cas. Médecine d’Afrique Noire. 2001; 48 (3):103-6.
[4] Alumeti MD, Luhiriri NL, Nfundiko K, Iteke FR, Cikwanine B, Bafunyembaka AM et al. Problématique de la perforation iléale au décours des infections à salmonella. The 2014 ICART Symposium: 24-5.
[5] Bouillot JL, Aouad K. traitement chirurgical des complications des colostomies. Encyclo Med Chir (ed scientifiques et médicales Elsevier SAS, Paris, tous droits réservés), techniques chirurgicales, appareil digestif; 2002: 540-5.
[6] Dindo D, Demartines N, Clavien P. Classification of Surgical Complications. A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey. Ann Surg. 2004; 240 (2): 205-13.
[7] Sartelli M, Abu-Zidan FM, Catena F, Griffiths EA, Di Saverio S. et al. Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study). World Journal of Emergency Surgery. 2015; 10 (61): pp 8.
[8] Muhammad L, Shams NA, Jahanzaib H, Khalid AM. Prognostic factors in typhoid enteric perforation. Pakistan Journal of Surgery. 2009; 25 (2):101-5.
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[12] Coulibaly Y, Togo AA, Keita M et al. Péritonites typhiques chez l’enfant: Evaluation de la morbi-mortalité au CHU Gabriel Touré, Bamako. Mali Medical 2013; 28 (3):24-7.
[13] Kassegné I, Kanassoua KK, Sewa EV, Tchangai B, Samiani DM, Ayité AE et al. Péritonite aigüe généralisée au CHU de Kara, RAMUR, SARANF Stauts 2013; 18 (2).
[14] Allode SA, Mensah E, Dossou F, Savi De Tovè S, Bori Bata K, Gandaho P, Bagnan KO. Aspects épidémiologiques, cliniques et paracliniques des péritonites aigües généralisées au CHDUP. Le Bénin Médical N° 38.
[15] Kenneth A, Martin N, Emmanuel O. Prevalence, Morbidity, and Mortality Patterns of Typhoid Ileal Perforation as Seen at the University of Nigeria Teaching Hospital Enugu Nigeria: An 8-year Review. World J Surg 2014; 38: 2514-2518.
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Cite This Article
  • APA Style

    Montcho Adrien Hodonou, Salako Alexandre Allode, Bio Tamou-Sambo, Djifid Morel Seto, Mahougnon Hermann Houegnanou, et al. (2018). Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin. Journal of Surgery, 6(1), 29-32. https://doi.org/10.11648/j.js.20180601.16

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    ACS Style

    Montcho Adrien Hodonou; Salako Alexandre Allode; Bio Tamou-Sambo; Djifid Morel Seto; Mahougnon Hermann Houegnanou, et al. Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin. J. Surg. 2018, 6(1), 29-32. doi: 10.11648/j.js.20180601.16

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    AMA Style

    Montcho Adrien Hodonou, Salako Alexandre Allode, Bio Tamou-Sambo, Djifid Morel Seto, Mahougnon Hermann Houegnanou, et al. Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin. J Surg. 2018;6(1):29-32. doi: 10.11648/j.js.20180601.16

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  • @article{10.11648/j.js.20180601.16,
      author = {Montcho Adrien Hodonou and Salako Alexandre Allode and Bio Tamou-Sambo and Djifid Morel Seto and Mahougnon Hermann Houegnanou and Francis Moïse Dossou},
      title = {Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin},
      journal = {Journal of Surgery},
      volume = {6},
      number = {1},
      pages = {29-32},
      doi = {10.11648/j.js.20180601.16},
      url = {https://doi.org/10.11648/j.js.20180601.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180601.16},
      abstract = {Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1st January 2014 – 30th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time  (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin
    AU  - Montcho Adrien Hodonou
    AU  - Salako Alexandre Allode
    AU  - Bio Tamou-Sambo
    AU  - Djifid Morel Seto
    AU  - Mahougnon Hermann Houegnanou
    AU  - Francis Moïse Dossou
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    PY  - 2018
    N1  - https://doi.org/10.11648/j.js.20180601.16
    DO  - 10.11648/j.js.20180601.16
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 29
    EP  - 32
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20180601.16
    AB  - Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1st January 2014 – 30th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time  (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin

  • Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin

  • Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin

  • Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin

  • Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin

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