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

Montcho Adrien Hodonou; Salako Alexandre Allode; Bio Tamou-Sambo; Djifid Morel Seto; Mahougnon Hermann Houegnanou; Francis Moïse Dossou

doi:doi:10.11648/j.js.20180601.16

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

Montcho Adrien Hodonou, Salako Alexandre Allode, Bio Tamou-Sambo, Djifid Morel Seto, Mahougnon Hermann Houegnanou, Francis Moïse Dossou

Published in Journal of Surgery (Volume 6, Issue 1)

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 (1^st January 2014 – 30^th 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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[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.
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[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).
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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
Y1 - 2018/02/19
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

Montcho Adrien Hodonou

Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Salako Alexandre Allode

Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Bio Tamou-Sambo

Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Djifid Morel Seto

Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Mahougnon Hermann Houegnanou

Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Francis Moïse Dossou

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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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