Is surgery required for chronic gastric perforation?

Sep 27, 2023 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
In general, whether surgery is needed for chronic gastric perforation depends on the severity of the condition. If the situation is mild and does not cause significant discomfort, surgery is usually unnecessary. However, if the condition is severe and accompanied by other distressing symptoms, prompt surgical treatment at a正规 hospital is required. Patients should avoid emotional stress during the treatment process.

In general, whether or not surgery is needed for chronic gastric perforation depends on the severity of the condition. If the condition is mild and does not cause significant discomfort, surgery may not be necessary. However, if the condition is severe and accompanied by other symptoms, timely surgical treatment at a正规 hospital is required. The detailed analysis is as follows:

1. Not required

Chronic gastric perforation is usually a complication caused by progressive gastric ulcer disease. If the perforation is mild and there are no serious accompanying symptoms, surgery may not be necessary. Patients can rest in a semi-recumbent position, avoid overeating, and take medications such as ciprofloxacin hydrochloride tablets, piperacillin sodium for injection, and cefradine capsules under a doctor's guidance.

2. Required

If the symptoms of chronic gastric perforation are severe and there is substantial leakage at the perforation site, the patient is likely to experience abdominal muscle rigidity and board-like abdomen (rigid abdomen), which may further lead to intra-abdominal infection and even septic shock. In such cases, prompt surgical intervention at a正规 hospital is necessary to prevent worsening of the condition.

During treatment, patients should avoid emotional stress and excessive pressure, and maintain an optimistic mindset.


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