How is gastric perforation treated?

Jun 29, 2024 Source: Cainiu Health
Disease description:

I have been experiencing abdominal pain and rectal bleeding for the past two days. After a complete physical examination, the doctor mentioned it might be caused by a perforated stomach. How is a perforated stomach treated?

Doctor's answer (1)
Dr. Shen Yonghua
The treatment methods for gastric perforation mainly include conservative therapy and surgical treatment. Conservative therapy is suitable for small gastric perforations, and involves fasting, continuous gastrointestinal decompression, intravenous nutritional support, and administration of medications to inhibit gastric acid secretion and protect the gastric mucosa. If symptoms continue to worsen or complications such as severe diffuse peritonitis occur, surgical treatment may be considered. Surgical treatments mainly include repair procedures, such as laparoscopic or open repair, and in cases where the gastric perforation is caused by gastric tumors, gastrectomy or other procedures may be necessary. The choice of treatment should be based on the patient's specific clinical condition to ensure optimal therapeutic outcomes.