What is the doctor's stomach perforation?

summary

Gastric perforation is one of the most serious complications in patients with peptic ulcer. The most common cause of gastric perforation is overeating on the basis of gastric ulcer. Overeating can increase gastric acid and pepsin, increase gastric volume, and easily induce gastric perforation. The patient suddenly had severe abdominal pain. The pain initially began in the upper abdomen or perforation site, often presented as knife cutting or burning pain, which was generally persistent, and the pain quickly spread to the whole abdomen. What is the doctor's stomach perforation? I'd like to share my views with you.

What is the doctor's stomach perforation?

First, the most common cause of gastric perforation is peptic ulcer. As the ulcer deepens, it penetrates through the muscular layer, serosa layer, and finally through the gastric or duodenal wall. There are several different consequences after perforation. For example, chronic perforation, a few cases may have gastrocolic fistula, most of which occur in the posterior wall of the stomach and duodenum. If the ulcer perforation quickly adheres to the greater omentum or nearby organs, the abscess around the perforation may be formed. When the disease develops to bacterial peritonitis and enteroparalysis, the patient may have toxic shock. Some patients can have nausea, vomiting, not severe, vomiting aggravation when intestinal paralysis, abdominal distension, constipation and other symptoms.

Second: clinical manifestations of abdominal pain, sudden severe abdominal pain, pain initially began in the upper abdomen or perforation site, often knife cut or burn like pain, generally persistent, but also paroxysmal aggravation. The pain quickly spreads to the whole abdomen, and can spread to the shoulder, presenting a tingling or sore feeling.

Third: complications 1. Shock. Severe chemical stimulation after perforation can cause shock symptoms. The patient showed restlessness, shortness of breath, rapid pulse and unstable blood pressure. With the relief of abdominal pain, the situation can be stabilized. Since then, with the aggravation of bacterial peritonitis, the disease is getting worse, and severe cases may have septic (toxic) shock. 2. Acute peritonitis. The whole abdominal muscle is as tense as a plate, with significant tenderness, refusal to press and rebound pain.

matters needing attention

The serious point of gastric perforation is that a large amount of gastrointestinal fluid flows into the abdominal cavity after perforation, causing chemical or bacterial peritonitis and toxic shock. If not rescued in time, it can endanger life. For small perforation and fasting perforation without peritonitis, conservative treatment, fasting, nasogastric tube aspiration, infusion of water and electrolytes, application of antibiotics can be used to prevent secondary abdominal infection. Perforation after a full meal, often diffuse peritonitis, emergency surgery should be performed within 6 to 12 hours. Chronic perforation, progress is slow, perforation to adjacent organs can cause adhesion and fistula, often need surgical treatment.