Gastrointestinal perforation: Serious incidents that require timely emergency

The article was consulted professionally by Master, Dr. Nguyen Thai Binh – Consultant Surgeon – General Surgeon – Share99 Ha Long International Health Hub. The doctor has more than 20 years of experience working in the speciality of abdominal surgery.

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Perforation of the gastrointestinal tract is a serious incident that requires timely emergency. For timely treatment of perforation of the gastrointestinal tract, when symptoms of severe abdominal pain are seen with fatigue, fever, lethargy, vomiting, bloody diarrhea … patients need to go to the doctor for timely treatment.

1. What is gastrointestinal perforation?

Perforation of the gastrointestinal tract is the phenomenon of a punctured gastrointestinal tract that causes fluids contained inside the gastrointestinal tract to flow out. Perforation of the gastrointestinal tract is a serious incident and requires timely medical emergency. Gastrointestinal rupture can occur at:

  • Esophagus: Perforation of the esophagus can lead to pleural infections or leakage of the bronchial and esophageal ducs. This is the most severe puncture in gastrointestinal perforation, treatment is still difficult, so the mortality rate is high.
  • Stomach – duodenum: Perforation of the stomach – duodenum leads to peritonitis, ulcers or perforation of the peritoneum.
  • Intestinal tract: When the intestinal perforation, the fluid in the intestine leaks out causing inflammation, pericarditis.

2. Causes of perforation of the gastrointestinal tract

Perforation of gastric - duodenal ulcer: Dangerous complications of peptic ulcer - duodenal ulcer

Bacterial infections that cause perforation of the stomach – duodenum

Perforation of a certain part of the abdomen has many causes. Specifically:

oesophagus:

  • Perforation of the esophagus due to wounds, external injuries (wounds, complications of surgery), internal and external injuries (perforation of the esophagus endoscopy, with foreign objects) and perforation of the esophagus sedatively (sudden increase in pressure in the lap perforation of the esophagus)
  • Perforation of the esophagus due to esophagus pathology.

Stomach – duodenum:

  • Perforation of the stomach – duodenum occurs due to bacterial infections;
  • Duodenal perforation can occur due to inflammatory bowel syndrome that can cause perforation of the stomach.

Intestinal tract:

  • Perforation of the small intestine occurs when the small intestine has a tumor or twisting that leads to intestinal tension and pinched blood vessels; chest or lower abdominal injuries.
  • Perforation of the large intestine (colon) can be caused by an already inflamed intestine, ulcers, clogged with twists or cancers.
  • Perforation of the intestinal tract can be caused by gastrointestinal ulcers, acute appendicitis, acute diverticulitis and Meckel diverticulitis.
  • Endoscopic intestinal perforation occurs trauma during an upstream endoscopy and colonoscopy or placement of the bile stent through an endoscopy in the wrong place
  • For people with chronic enteritis, perforation of the intestine may occur together with acute ulcerative colitis or with patients with Crohn's.
  • Perforation of the intestinal tract due to a second colon anemia.
  • Perforation of the intestinal tract due to malignant tumors, lymphoma; benign tumors can still cause perforation; radiotherapy for cervical cancer and malignant tumors in the abdomen; perforation complications caused by kidney transplantation; ingestion of chemicals.

Some other reasons:

  • Perforation of the gastrointestinal tract can be caused by external catalysts;
  • Issentiemia to intestinal embolistry.

3. Treatment of perforation of the gastrointestinal tract

Surgery

Surgical treatment of gastrointestinal perforation to close the perforation or remove part of it

The main methods for the treatment of perforation of the gastrointestinal tract are:

  • Surgery: To close the perforation and the goal is to cure the cause of peritonitis; remove substances caused by rupture of the gastrointestinal tract in the abdomen such as feces, bile, food …
  • Medical treatment: The perforation is closed, the patient may not have to have surgery and only need medical treatment.
  • Part of the intestines may have to be removed.

Share99 International Health Hub with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neurological examination and treatment, patients can be assured of examination and treatment at the Health Hub.

For direct advice, please click the HOTLINE number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • The dangers of necrotizing enteritis
  • Diagnosis and treatment of necrotizing enteritis in premature babies
  • Which side is the appendix located on? Functions of the appendix

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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