Abstract
A Study of Surgical Approach to Typhoid Ileal Perforation at a Tertiary Care Hospital of South Gujarat
Highlights
Even with variety of procedures, typhoid perforation still has a high rate of morbidity and mortality
Typhoid fever known as enteric fever is caused by a gram negative bacteria Salmonella typhi; it is a major public health problem in developing countries of Africa and Asia
Intestinal hemorrhage has been reported between 0.8% to 18%, which is most common complication of typhoid fever, ileal perforation continues to be the most frequent reason behind high morbidity and mortality, especially in remote areas where there is lack of good medical facility [5]
Summary
Even with variety of procedures, typhoid (enteric) perforation still has a high rate of morbidity and mortality. The incidence of typhoid in Asia is around 274/100,000 persons per year [1]. India has highest incidence worldwide [2]. This disease is transmitted by faeco-oral route and it exists as an endemic disease, where water supply and sanitation is poor. With the emergence of multi-drug resistant strains, there are high incidences of morbidity and mortality [4]. Intestinal hemorrhage has been reported between 0.8% to 18%, which is most common complication of typhoid fever, ileal perforation continues to be the most frequent reason behind high morbidity and mortality, especially in remote areas where there is lack of good medical facility [5]
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