Will it be completely fine after gastric perforation surgery?

Coincidentally, the day before yesterday I just admitted a patient with a perforated duodenal ulcer, and the operation has been completed, but ** will continue. I also have a question for you, which can be regarded as a medical history, otherwise I will not be able to make a correct judgment. Generally, gastric and duodenal ulcer perforation surgery, there is another ** that must be carried out at the same time, that is, acid stopping**, which is divided into two steps:

1) During intravenous fluid infusion in hospitalization, intravenous antacids are used, and proton pump inhibitors are now mostly used, commonly used are omeprazole, pantoprazole, esomeprazole, etc.; (2) After discharge, oral antacids, with the same drugs as the above, the general course of treatment is about 3 months, in the oral antacids at the same time, most of them will be short-term combined with an antibiotic and a gastric mucosal protector. First question: Do you have gastric perforation surgery or duodenal perforation?

Is there any acid stop after surgery**? After gastric and duodenal ulcer perforation, there is another thing that must be done, after 1-3 months of oral antacids, a gastroscopy must be performed to determine whether the ulcer is healing well. Second question:

Have you had a gastroscopy after surgery? Have you had a recent gastroscopy? If you do well with the first two problems, then you can basically rule out the problems of the stomach and duodenum, and you need to transfer the direction to see if there are other digestive diseases.

Let me first briefly talk about the vague pain and discomfort in the stomach you mentioned, and there are probably a few that may be caused by other internal organ diseases: one is the disease of the biliary system, which is commonly caused by gallstones accompanied by cholecystitis; The second is intestinal diseases, the common one is the colon, that is, there is some kind of disease in the large intestine, which may be chronic inflammation, and there are relatively rare diseases such as ulcerative colitis. Therefore, in order to determine what the specific problem is, you need to do some tests, such as abdominal ultrasound, abdominal CT, fiber colonoscopy, etc.

As for the question in your title, generally there is a regular ** after duodenal ulcer perforation, and it will basically be completely fine; Gastric perforation depends on the specific situation, because there is a possibility of perforation of some undesirable diseases.

Gastric perforation is a very common disease in our daily life, this disease is more urgent, and the danger is also very great, among many stomach diseases, gastric perforation is very serious. In order to get more rescue opportunities, you can learn about some of the symptoms of gastric perforation, judge whether it is gastric perforation through the symptoms, and once the symptoms are similar to those of gastric perforation, you must go to the hospital in time.

What are the symptoms of a gastric perforation?

First of all, it is abdominal pain, and it is also very severe, usually starting in the upper abdomen, or at the place of the piercing, as if it was cut or burned. The pain is usually constant and can easily spread throughout the abdomen. Secondly, shock, which is the stage of gastric perforation, the condition may transform into bacterial peritonitis, which is likely to lead to severe shock and even death.

There is also nausea and vomiting, some patients will have nausea and vomiting, and this phenomenon will be aggravated when intestinal paralysis, and it will also be accompanied by symptoms of abdominal distension and constipation.

Do I need surgery?

There are many ways to perforate the stomach, and whether surgery is required depends on the patient's condition and personal physical condition. If it is only a small perforation and fasting perforation without peritonitis, this situation generally does not require surgery, and only needs intravenous infusion, antibiotics, antacids, etc. If the gastric perforation is severe, surgery may be required** because a large amount of intestinal fluid flows into the abdominal cavity after the gastric perforation, and these intestinal fluids are very acidic and can easily cause damage to other organs.

When gastric perforation occurs, it is necessary to be timely**, **late, especially for patients who are more than 24 hours, the mortality rate will be higher.

Of course, you should also pay attention to your personal physical condition, don't overeat often, one of the most important reasons for stomach perforation is caused by overeating, so you don't need to eat too much when you usually eat, seven or eight points full can be, and the diet is mainly light.

A perforated stomach can cause you to feel very painful in your stomach, and you can't eat, you often vomit, and you can't walk straight, and you're weak. In this case, surgery is required.

If the patient's condition is not very severe, then surgery is not necessary. If the patient's condition is more severe, then surgery is required, and if surgery is not performed, then only medication is required**, and the patient does not need to worry too much about this situation.

Gastric perforation is one of the common acute abdomen in gastrointestinal surgery, it is one of the most serious complications of gastric ulcer disease, gastric perforation is more acute and changes rapidly, and the condition has obvious aggravation in a short period of time, which can cause a series of serious consequences. Symptoms of gastric perforation include symptoms of shock with abdominal pain, three nausea and vomiting, and some physical examination depending on other symptoms5.

Abdominal pain may occur, as well as symptoms of shock, nausea and vomiting, or fever, as well as rebound tenderness, which is usually more severe and requires surgery.

First of all, there will be stomach pain and bloating, and it will also lead to loss of appetite, accompanied by a particularly severe feeling of vomiting, if the situation is more severe, it will be necessary to have surgery in time.

Gastric perforation may cause abdominal pain, nausea, vomiting, shock, and fever. Surgery is required.

Bleeding from gastric perforation, patients will present with acute abdominal pain, which is persistent, can radiate to the back, and the pain is more intense and stubborn, and the more gastrointestinal contents leak into the abdominal cavity, the more severe the abdominal pain will be.

1. The World Health Organization (WT0) classifies the level of pain as:

o degree: no pain;

Degree: mild pain, intermittent pain, can be without medication; Grade II: Moderate pain, persistent pain that interferes with rest, requires painkillers;

Grade III: Severe pain, which is persistent and cannot be relieved without medication;

Analysis: Gastritis is a general term for inflammation of the gastric mucosa. Common diseases can be divided into two categories: acute and chronic. You can take antibiotics that have a killing effect on Helicobacter pylori, including accha and moxicillin, metronidazole, and dysentery.

Guidance: The principle of eating food with a soft texture, high quality and easy to digest is the diet.

Hello! The symptom of gastric perforation is major surgery. The most common cause of gastric perforation is peptic ulcer.

Perforation occurs as the ulcer deepens, penetrating the muscular, serous and finally the walls of the stomach or duodenum. Perforation after a full meal, often diffuse peritonitis, requiring emergency surgery within 6 to 12 hours. Chronic perforation, which progresses slowly, can cause adhesions and fistulas to adjacent organs, and often requires surgery**.