Mariam Malik, Sughra Perveen, Mazhar Iqbal, Mohammad Iqbal Khan.
Frequency of Peptic Ulcer Perforation During Fasting and Without Fasting.
J Surg Pak Jan ;20(1):32-5.

Objective: To find out the frequency of peptic ulcer perforation during fasting in the month of Ramadan with non-fasting during other months. Study design: Descriptive case series. Place & duration of study: Department of Surgery Ward-3 Jinnah Postgraduate Medical Center Karachi, from January 2005 to November 2014. Methodology: The data of 220 patients who were operated due to peptic ulcer perforation, was analylsed. Patients were divided into 2 groups. Group I (n= 139) included patients who were operated in the months other than Ramadan, while group II (n= 81) included patients who were operated during the month of Ramadan. The patients of peptic ulcer due to malignancy were excluded. Results: Of the total there were 209 male and 11 female patients. Age range was 12 year to 65 year. Most of the patients (n=178 – 85%) were between 20 year to 50 year of age. Frequency of perforation was highest in Ramadan then in Shawal month and was less in other months of the year. On average patients with peptic ulcer in Ramadan were 8.1 and in non-fasting months 1.2. Conclusion: The frequency of perforation in peptic ulcer disease was higher in Ramadan month during fasting state as compared to other months of the year.

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