TERMINAL ILEAL PERFORATION DUE TO ENTERIC FEVER; THE IDEAL SURGICAL MANAGEMENT. Tifoya bağlı terminal ileum perforasyonları; İdeal cerrahi tedavi.

ABSTRACT Ileal perforation is one of the most lethal complications of enteric fever particularly in a developing country like India. Surgical treatment is considered the treatment of choice. A total 31 patients was included in the study. There were 18 males and 13 females (M: F=1.38:1), mean age was 17.4 years. Simple repair was done in 9 patients, out of which 4 (44%) died. Patch repair was done in 9 patients, out of which 4 (44%) died. Seven patients underwent resection and anastomosis, among them 3 (42%) died. We did stoma ie exteriorisation of gut in 6 patients, and we lost only one (17%) from them. In conclusion, we advocate routine exteriorisation of the segment of bowel bearing the perforation and fashioning it as a loop ileostomy for all cases. OZET Ileum perforasyonlari, ozellikle Hindistan gibi gelismekte olan ulkelerde, tifoya bagli en olumcul komplikasyonlardan birisidir. Tedavide baslica yaklasim cerrahi tedavidir. Bu calismaya 31 vaka alindi. Hastalarin 18’i erkek, 13’u kadin (M / F ratio: 1.38 / 1) ve ortalama yaslari 17.4 idi. Primer tamir yapilan 9 vakanin 4’u oldu (%44).  Patch (yama) tamiri uygulanan 9 vakanin 4’u oldu. Rezeksiyon ve uc-uca anastomoz yapilan vakalarin 3’u oldu (%42). Stoma uygulamasi yapilan 6 vakadan ise sadece bir tanesi oldu (%17). Sonuc olarak, perforasyolu kismi tasiyan ansin rutin olarak disariya alinmasini ve loop ileostomi yapilmasini oneriyoruz.