Causes of massive hemorrhage after gast perforation surgery

Oct 11, 2022 Source: Cainiu Health
Disease description:

A few days ago, my friend's father underwent surgery for a gastric perforation, and afterward he began experiencing severe bleeding. They don't know what caused it. I'd like to ask: what are the possible causes of major bleeding after gastric perforation surgery?

Doctor's answer (1)
Dr. Zhou Chao
The most common cause of massive hemorrhage after surgery for gastric perforation is gastric ulcer, especially deep ulcers. Ulcers invading surrounding blood vessels leading to gastric bleeding are the most frequent complication. Additionally, when an ulcer progresses to a deep extent, it may penetrate the serosal layer, commonly seen in gastric perforation, perforated ulcer with hemorrhage, gastric cancer pathogenesis, and gastric ulcers. Significant bleeding may be associated with wound dehiscence or infection, and prompt medical attention at a hospital is necessary.