What to do about a perforated stomach? Is a gastric perforation serious

What should I do if I have a stomach perforation? Gastric perforation is more common as a complication of gastric ulcers that occur without timely **. Gastric perforation is mainly caused by overeating, which can cause an increase in gastric acid and pepsin.

Gastric perforation is more common in the elderly after the age of 50 or 60. The severity of the disease lies in the fact that if it is not received in time, it may endanger life. So, let's take a look, what to do after having a gastric perforation?

Here are some of the surgical procedures for gastric perforation.

The choice of surgical method should be based on the patient's general condition, age, ulcer site, perforation time, degree of abdominal contamination and whether the frozen section results are malignant.

1) Gastric perforation peripheral biopsy followed by simple perforation repair.

Patients with poor general status, serious diseases of heart, lung, liver and kidney, perforation time of more than 8 12 hours, severe intra-abdominal inflammation and severe gastroduodenal edema, etc., are estimated to have a greater risk of surgery, and after the biopsy around the gastric perforation is negative, it is suitable to choose simple perforation repair. There are two types of repair: open repair and laparoscopic repair.

2) **Sexual surgery.

**The advantage of sexual surgery is that the surgery solves both perforation and ulcer problems. It is suitable for patients with good general condition, perforation in 8 12 hours, intra-abdominal infection and gastroduodenal edema are mild, and no important organs can be considered for surgery.

The specific indications are: long medical history, reverse **; History of ulcer perforation or bleeding; The perforation is accompanied by hemorrhage, pyloric stenosis, or stenosis after repair; Suspected cancerous.

**Sexual surgeries include: gastrectomy; perforation repair with parietal cell vangelotomy; Perforation repair, vagotomy plus antral resection or pyloroplasty. Among them, the first two surgical methods have better results.

Through the above introduction, I believe you already know some of the best methods about gastric perforation, the main thing to do with gastric perforation is to get timely ** at the onset of the disease, don't treat it as a trivial matter, if you seek medical attention late, it will endanger your life. Therefore, once someone is found to be sick with a perforated stomach, they must be rushed to the hospital.

The ** regimen of gastric perforation is non-surgical** suitable for patients with small fasting perforation who are generally in good condition and have mild symptoms and signs, who have been perforated for more than 24 hours and whose peritonitis has been limited, or who have been confirmed by gastroduodenography with water-soluble contrast agent and have confirmed that the perforated fluid is occlusive. Surgery is the main one for gastric perforation, and depending on the patient's condition, there is a choice between simple perforation repair and complete ulcer surgery. Simple perforation repair is simple to operate, short operation time, high safety, and the advantage of complete ulcer surgery is that the two problems of perforation and ulcer are solved at the same time in one operation.

If the patient is in good condition, the gastric ulcer is perforated within 8 hours, or more than 8 hours, the abdominal cavity is not seriously contaminated, and patients with chronic ulcer disease, especially gastric ulcer, are often perforated during internal medicine**or **, complete ulcer surgery can be performed. Thoroughness. Ulcer surgery includes gastrectomy and highly selective vagus nerve resection, which is relatively complex and risky, and is not suitable for patients with shock and purulent peritonitis combined with other serious diseases.

Gastric perforation First aid formula: Lie on your left side. Typical symptoms:

Patients with gastric ulcers who suddenly have unbearable severe abdominal pain and abdominal hardness and distension are very likely to have sudden gastric perforation After mood swings or overeating during the Spring Festival, gastric ulcer patients are easily complicated by gastric perforation, and once the above symptoms occur, the possibility of gastric perforation should be considered immediately. Before the ambulance arrives, the following should be done: 1. Do not roll around with your stomach covered, and lie on the bed facing your left side.

The reason for this is that the perforation is mostly located on the right side of the stomach. Lying on the left side can effectively prevent further flow of stomach acid and food to the abdominal cavity and worsen the condition. 2. If the medical staff cannot arrive in time, but there are some simple medical equipment on site, the patient can insert the gastric tube by himself.

Specific method: Insert the gastric tube into the nostrils, reach the throat, swallow vigorously while breathing, and swallow the gastric tube into the stomach. Then use a syringe to remove the contents of the stomach, which will reduce the degree of infection in the abdominal cavity and buy the patient ** time, remember that the patient must also lie on the left side at this time.

Gastric perforation varies according to the severity of the disease. 1. If there is no micro-perforation or fasting perforation of peritonitis, it can be conservative, and nasal cannula drainage, infusion, electrolytes, etc. can be placed; 2. Perforation after a full meal can cause intra-abdominal diffuse peritonitis, and emergency surgery should be performed as soon as possible; 3. Chronic perforations such as ulcers or tumors, perforations that slowly weaken the abdominal wall can be operated on elective occasions**.

Seeing that your description does not look like a gastric perforation, it may be a torn cardia, or bleeding from a simple gastric ulcer or duodenal ulcer. The main symptom caused by a perforated stomach is severe abdominal pain, which is not a tolerable kind. Back to the subject's question, gastric perforation can generally be done, and gastric perforation that is not caused by gastric cancer erosion can be done with gastric resection or perforation repair (depending on the size, location, nature, cause and other factors of the perforation).

Finally, it is recommended to have a comprehensive examination in a regular tertiary hospital, such as gastroscopy (take pathology if necessary), gastrointestinal angiography, abdominal CT and related blood tests.

Gastric perforation is caused by a defect in the stomach wall, and the stomach acid and some components in the stomach enter the abdominal cavity. Gastric perforation is very serious, is one of the surgical emergencies, if there is gastric perforation, you must go to a regular hospital to take surgical methods, perforation repair, if you can not wait or observe in the hospital in time, the patient will be in danger of life.

Gastric perforation is one of the most serious complications in patients with ulcer disease. The most common cause of gastric perforation is overeating on the basis of gastric ulcers, which can cause an increase in gastric acid and pepsin, and an increase in gastric volume, which can easily induce gastric perforation.

Patients develop sudden, severe abdominal pain, which begins in the upper abdomen or at the site of the perforation, often as a knife or burning, usually persistent, and quickly spreads to the entire abdomen.

Extension: 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. There are several different consequences that can occur after perforation.

If chronic perforation, a few cases may have gastrocolic fistula, most of which occur in the posterior wall ulcer perforation of the stomach and duodenum.

Gastric perforation can cause peritonitis, and if peritonitis infection is complicated, it can cause septic shock and should be operated on as soon as possible**.

It is very severe and difficult to heal because it has to digest and absorb food. The stomach is the source of your energy, and if you take care of it, you will be energized every day.

Of course, it's overeating.

Gastric perforation needs to be timely**, if it is a small perforation, it can be conservative**, take antibacterial drugs to control the infection, put a nasogastric tube to aspirate gastric contents, and infusion to replenish water and electrolytes.

If the perforation is large and the symptoms are more severe, surgery is required**. Strengthen nursing, reasonable diet, strictly prohibit smoking and alcohol, and eat a light diet.

You can do surgery directly, or drink Chinese medicine for conditioning, or you can do gastroscopy, and then decide on the plan.