Treatment results of small bowel perforations due to unusual causes

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dc.authoridFatih Altıntoprak / 0000-0002-3939-8293
dc.authoridEnis Dikicier / 0000-0002-5074-0299
dc.authorscopusidFatih Altıntoprak / 35321108500
dc.authorscopusidEnis Dikicier / 35110333600
dc.authorwosidFatih Altıntoprak / EJS-3092-2022
dc.authorwosidEnis Dikicier / IWU-8135-2023
dc.contributor.authorUzunoğlu, Mustafa Yener
dc.contributor.authorAltıntoprak, Fatih
dc.contributor.authorDikicier, Enis
dc.contributor.authorZengin, İsmail
dc.date.accessioned2020-08-30T20:07:29Z
dc.date.available2020-08-30T20:07:29Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjectives: Although non-traumatic Small Bowel Perforations (SBPs) are rare, they have high rates of morbidity and mortality in case of late presentation. Aetiological factors vary across different geographical regions. In this paper, SBPs caused by anything other than trauma and other well-known causes are presented and the current literature is reviewed. Methods: The study was conducted at General Surgery Clinics of two different tertiary university hospitals between January 2008 and September 2016. The authors directly involved in managing the patients. This study was approved by the ethical institutional board and was performed at the Department of General Surgery, School of Medicine, Sakarya University. The medical records of patients retained in both hospitals are electronic. Medical records of subjects who had undergone emergency operations with a prediagnosis of acute abdomen in single center, and were determined to have SBPs due to unusual causes, were investigated retrospectively. Patients with aetiological factors such as trauma, mesenteric vascular disease, internal and external hernias, intra abdominal adhesions, inflammatory bowel diseases, and iatrogenic causes were excluded. Results: In total, 35 patients were evaluated, 20 (57.1%) males and 15 (42.9%) females. The mean age of the cases was 51.6 (18-88) years. Mean time until admission at the hospital was 1.4 days (range 0.25-7 days). The most frequent aetiological factors were various malignancies (10 cases, 28.5%) and perforation of Meckel's diverticulum (8 cases, 22.8%). It was surprising to detect a considerable rate of perforation due to bezoars (6 patients, 17.1%). Conclusions: Post-operative consequences of SBPs due to unusual causes are similar with those related to common, known causes. Factors affecting the clinical course are presentation time and patients' clinical status in admission, not aetiology.en_US
dc.identifier.citationUzunoglu, M. Y., Altintoprak, F., Dikicier, E., & Zengin, I. (2018). Treatment results of small bowel perforations due to unusual causes. Pakistan Journal of Medical Sciences, 34(4), 974–979. https://doi.org/10.12669/pjms.344.14808en_US
dc.identifier.doi10.12669/pjms.344.14808en_US
dc.identifier.endpage979en_US
dc.identifier.issn1682-024Xen_US
dc.identifier.issue4en_US
dc.identifier.pmid30190764en_US
dc.identifier.scopus2-s2.0-85052921226en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage974en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.344.14808
dc.identifier.urihttps://hdl.handle.net/20.500.12713/773
dc.identifier.volume34en_US
dc.identifier.wosWOS:000442047500038en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAltıntoprak, Fatihen_US
dc.institutionauthorDikicier, Enisen_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNon-Traumatic Perforationen_US
dc.subjectPerforationen_US
dc.subjectSmall Bowel Perforationen_US
dc.subjectBezoaren_US
dc.titleTreatment results of small bowel perforations due to unusual causesen_US
dc.typeArticleen_US

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