Abstract

Peptic ulcers are erosions that extend through the muscularis mucosae in the stomach or duodenal mucosa. They may be acute or chronic, and eventually result from an imbalance between mucosal defences and acid/peptic damage. Surgery is nearly generally necessary for ulcer perforation, while occasionally nonsurgical treatment may be used in the stable patient without peritonitis whose radiologic scans show a sealed off perforation. The patients who undergo surgical treatment for perforated peptic ulcer are allotted points according to the POMPP and PULP scoring system after history taking, physical examination, basic pre-operative investigations and radiological imaging. The patients will be allotted points according to both scoring systems which are then compared. The patients will be classified into high risk or low risk categories and followed up accurately to predict the mortality and morbidity within 30 days post operatively. Out of 42 low POMPP risk categorized patients no one died which constituted for 0.0% of mortality among low POMPP risk patients and 42(70.0%) of them got discharged, whereas 4 out of 18High POMPP risk categorised patient died which constituted for 30.0% of mortality among High POMPP risk patients and only 18(30.0%) of them got discharged. This correlation between POMPP RISK Score and outcome was found to be statistically significant.

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