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Contact Name
I Made Dwiki Arta Kusuma
Contact Email
dwikiarta29@gmail.com
Phone
082237782324
Journal Mail Official
info.jurnalkedokteranunwar@gmail.com
Editorial Address
Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Gedung F2 Lantai 3 Jalan Terompong Nomor 24, Tanjung Bungkak, Sumerta, Denpasar Timur, Bali
Location
Kota denpasar,
Bali
INDONESIA
WMJ (Warmadewa Medical Journal)
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Published by Universitas Warmadewa
ISSN : 25274627     EISSN : 25799010     DOI : doi.org/10.22225/wmj
Core Subject : Health,
WMJ (Warmadewa Medical Journal) is the Journal of Medicine & Health, contains scientific articles (Original/ Research Articles, Review Articles, Case Reports) by academic community of the Faculty of Medicine and Health Sciences Warmadewa University, other Faculties of Medicine and Health Sciences and other related Institutions. It is the medium for hardskill and softskills development as an integral part of the Tri Dharma Perguruan Tinggi (Education, Research, Public Service) and health services in the forms of media of communication, information, scientific education, as a subsystem of Medicine and Health holistic and comprehensive services.
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Articles 1 Documents
Search results for , issue "70-74" : 1 Documents clear
Jumlah Profil Pasien dengan Gaster Perforasi di RSUD Tabanan Tahun 2021-2022: - I Putu Gosen Partama; Made Kurniawan; I Gusti Ngurah Sumantri; Anak Agung Gede Indraningrat
WMJ (Warmadewa Medical Journal) 70-74
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.10.2.9550.70-74

Abstract

Gastric perforation is a life-threatening surgical emergency that frequently arises as a complication of peptic ulcer disease and carries a high mortality rate. This study aimed to describe the clinical profile and outcomes of gastric perforation patients treated at Tabanan Hospital. A retrospective review of medical records was conducted for all gastric perforation cases from January 2021 to December 2022. Seventeen patients were identified. Most were older than 50 years (94%) and female (65%). More than half had no formal education and were unemployed. A history of nonsteroidal anti-inflammatory drug use was present in 59% of cases. Most patients arrived more than 6 hours after symptom onset, and many presented in critical condition, including shock (24%), tachypnea (76%), and acute kidney injury (53%). Intraoperatively, most perforations were located in the gastric antrum (65%) and measured 1–2 cm (82%). Postoperatively, hypoalbuminemia (94%), sepsis (35%), and pneumonia (24%) were common. The in-hospital mortality rate was 29%. In conclusion, gastric perforation at our institution predominantly affected elderly patients, with delayed presentation, severe initial clinical status, and high complication and mortality rates. Enhanced community awareness of ulcer symptoms, early referral, rational NSAID use, and timely surgical intervention are essential to improving outcomes.

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