Gastric Perforation

Gastric perforation is full-thickness hole in gastric wall, due to peptic ulcer, malignancy, trauma, ingestion, or iatrogenic, causing pneumoperitoneum/peritonitis, severe abdominal pain, and sepsis. Treatment: NPO; IV broad-spectrum antibiotics; IV fluids; nasogastric decompression; emergency surgical repair (open/laparoscopic omental patch/resection); water-soluble contrast/CT to localize; treat underlying cause (H. pylori/NSAID/malignancy); ICU monitoring; follow-up; early management improves outcomes.

Common Symptoms

Sudden severe abdominal pain; board-like abdomen; fever/sepsis; by ulcer/malignancy/trauma

Causes and Pathogenesis

Full-thickness perforation causes chemical/bacterial peritonitis.

Treatment

NPO; IV antibiotics; decompression; emergency repair; treat cause; ICU

Preventive Measures

Treat peptic ulcer; avoid NSAIDs/irritants; careful endoscopy.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery/Emergency/Gastroenterology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.