What causes gastric perforation?

Apr 25, 2024 Source: Cainiu Health

Dr. Shen Yonghua

Introduction

Gastric perforation may be caused by improper diet, medication irritation, trauma, gastritis, gastric ulcers, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. In daily life, patients are advised to quit smoking and alcohol consumption, and appropriately consume fresh vegetables and fruits such as radish, cabbage, and apples, which may benefit recovery.

Gastric perforation may be caused by factors such as improper diet, medication irritation, trauma, gastritis, and gastric ulcers. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analysis is as follows:

1. Improper Diet

Long-term consumption of spicy and greasy foods, such as hot pot or spicy hot pot dishes, may damage the gastric mucosa. This can weaken the protective mechanisms of the gastric mucosa and increase the risk of gastric perforation. It is advisable to adjust the diet to include lighter foods, such as millet porridge or pumpkin porridge, which may benefit recovery.

2. Medication Irritation

Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as enteric-coated aspirin tablets, ibuprofen tablets, or acetaminophen tablets, may damage the gastric mucosa and thereby increase the risk of gastric perforation. If gastric perforation has already occurred, it is recommended to discontinue these medications and switch to alternative treatments under medical supervision.

3. Trauma

Events such as traffic accidents or falls may lead to compression or impact on the stomach, resulting in rupture and perforation, which may also be accompanied by sudden abdominal pain. It is recommended to follow medical advice and use medications such as amoxicillin capsules, cefixime capsules, or omeprazole enteric-coated capsules for treatment.

4. Gastritis

This condition may be associated with factors such as excessive alcohol consumption or high stress levels. After onset, it commonly causes edema and congestion of the gastric mucosa. Without active treatment, local infection may worsen, and in severe cases, may lead to gastric perforation. Patients are advised to take medications such as potassium citrate bismuth tablets, colloidal pectin bismuth capsules, or clarithromycin capsules as directed by a physician.

5. Gastric Ulcer

This may result from factors such as heavy smoking or impaired gastroesophageal motility. As the ulcer enlarges progressively, it may penetrate the stomach wall or duodenal wall, leading to gastric perforation. It is recommended to use medications such as rabeprazole sodium enteric-coated tablets, lansoprazole tablets, or belladonna tablets as prescribed.

In daily life, patients are advised to quit smoking and avoid alcohol, and to consume fresh vegetables and fruits such as radishes, cabbage, and apples in moderation, which may support recovery.

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Is surgery required for chronic gastric perforation?

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.