A clinical study on 122 cases of surgical patients of peptic ulcer perforation who were admitted to the Dept. of Surgery, Presbyterian Medical Center from Jan. 1972 to July 1973 was presented. The results were as followed:
1. The ratio of perforation between stomach and duodenum was 1 4.5, as 22 cases in stomach and 100 cases in duodenum.
2. The sex distribution assumed a ratio of 6.6 1, -with 106 males and females and perforation. was commonest in the 4th decade.
3, The seasonal distribution was prominent in Spring and best in Winter, The monthly occurrence was prominent in September.
4. The duration of gastrointestinal symptoms characteristic of peptic ulcer prior to perforation was over 5 years in 26% and 1^-3 years in 25%.
5. The interval between perforation and admission was 12^24 hours in 45%.
6. X-ray demonstration of spontenous pneumoperitoneum by chest and abdomen was noted in 86% of the patients with perforation.
7. The ratio of site of perforation in body, antrum, pylorus, and first portion of duodenum
was 5%, 12%, 14.8% and 68.2% in order. Also the anterior wall was majority in 9390.
8. The size of perforated orifices was below in 5mm in 51.6%.
9. In the peritoneal fluid culture, 32.6%1was positive and E. coli was the commonest organism 10. As for the operative procedure, the simple closure was donein 30 cases (24.7%), pyloro.
plasty and vagotomy in 73 cases (59.8%) and hemigastrectomy and vagotomy in 17 cases (14%). 11. The postoperative complications were noted in 39 cases (32%). The commonest of those
was wound infection in 21 cases (26%) and the next was postoperative intestinal obstruction in
17 cases (20.7%).
12. The postoperative mortality rate was 9%.
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