Table 1.
Demographic data, preoperative, intraoperative, and postoperative variables, and outcomes of duodenal perforation. Association of aetiological factors with outcome variables.
N | Aetiology variables | |||||
---|---|---|---|---|---|---|
Ulcer (%) | ERCP (%) | Postsurgery (%) | Trauma (%) | P value | ||
Total Patients | 55 | 25 (46 %) | 15 (27%) | 11 (20%) | 4 (7.3%) | |
Age (years) | ||||||
Mean | 52.3 | 56.8 | 51 | 51.1 | 33 | 0.185 |
Range | 16–81 | 25–75 | 29–81 | 23–69 | 16–48 | |
Male | 38 (69.1%) | 18 (72) | 6 (40) | 10 (90) | 4 (100) | 0.016 |
Female | 17 (30.9%) | 7 (28) | 9 (60) | 1 (10) | 0 | |
| ||||||
Indication for ERCP | Choledocholithiasis | 11 (73%) | ||||
Benign biliary stricture | 3 (20%) | |||||
Malignancy | 1 (7%) | |||||
| ||||||
Inadvertent injury during surgery | Laparoscopic cholecystectomy | 4 (36%) | ||||
Right hemicolectomy | 2 (18%) | |||||
Pancreatic necrosectomy | 2 (18%) | |||||
Right nephrectomy | 2 (18%) | |||||
Enterocutaneous (jejunal) fistula | 1 (9.1%) | |||||
| ||||||
Duration to surgery (days) | ||||||
Mean | 4.62 | 3.8 | 4.4 | 6.5 | 5.2 | 0.156 |
Range | 0–20 | 1–12 | 0–20 | 0–20 | 1–13 | |
| ||||||
Preoperative organ failure | ||||||
Yes | 23 (41.8) | 11 (44) | 7 (46) | 2 (18) | 2 (50) | 0.320 |
No | 32 (58.2) | 14 (56) | 8 (54) | 9 (82) | 2 (50) | |
| ||||||
BOEY score | ||||||
0 (3.6%) | 1 (4%) | 1 (6.6%) | 0 | 0 | ||
1 (38%) | 7 (28%) | 7 (47%) | 5 (46%) | 2 (50%) | ||
2 (42%) | 12 (48%) | 5 (33%) | 4 (36%) | 2 (50%) | ||
3 (5.4%) | 5 (20%) | 2 (13.3%) | 1 (9%) | 0 | ||
| ||||||
Surgery | ||||||
Repair | 18 (33%) | |||||
Repair + diversion | 28 (51%) | |||||
Diversion | 6 (11%) | |||||
Resection | 3 (5.4%) | |||||
| ||||||
Location | ||||||
D1 | 27 (49) | 23 (92) | 0 | 2 (18) | 2 (50) | |
D2 | 28 (51) | 2 (8) | 15 (100) | 9 (82) | 2 (50) | |
| ||||||
Hospital stay (days) | ||||||
Mean | 17 | |||||
Range | 0–70 | |||||
| ||||||
ICU stay (days) | 0.049 | |||||
Mean | 5.9 | |||||
Range | 0–28 | |||||
| ||||||
Leak | 0.001 | |||||
Yes | 11 (20%) | |||||
No | 44 (80%) | |||||
| ||||||
Re- exploration | 0.037 | |||||
Yes | 5 (9.1%) | |||||
No | 50 (90%) | |||||
| ||||||
Drainage duration (days) | 0.001 | |||||
Mean | 12.11 | |||||
Range | 0–70 | |||||
| ||||||
Complications | 0.8 | |||||
Clavien–Dindo III, IV | 12 (22%) | |||||
Clavien–Dindo I, II | 22 (40%) | |||||
| ||||||
Mortality | 0.47 | |||||
Yes | 21 (38%) | |||||
No | 34 (62%) |