After acute gastric perforation, emergency surgery, anti-infection and symptomatic treatment are needed.

Treatment policy

Small perforation and fasting perforation without peritonitis can be treated conservatively. Puncture after a full meal requires emergency surgery within 6 ~ 12 hours. Chronic perforation of adjacent organs can lead to adhesion and fistula, which usually requires surgical treatment.

The severity of gastric perforation is that a large amount of gastric juice flows into abdominal cavity after perforation, causing chemical or bacterial peritonitis and toxic shock, which can be life-threatening if not rescued in time. There is no small perforation or fasting perforation caused by peritonitis, and measures such as conservative treatment, fasting, placing nasogastric tube to suck stomach contents, infusion to supplement water and electrolyte, and application of antibacterial drugs to prevent secondary infection in abdominal cavity can be taken. Perforation after a full meal, often accompanied by diffuse peritonitis, requires emergency surgery within 6 ~ 12 hours. Chronic perforation, which progresses slowly, will cause adhesion and fistula when it reaches adjacent organs, and usually requires surgical treatment.

Perforation after a full meal, often accompanied by diffuse peritonitis, requires emergency surgery within 6 ~ 12 hours. Chronic perforation, which progresses slowly, will cause adhesion and fistula when it reaches adjacent organs, and usually requires surgical treatment.

There is no small perforation or fasting perforation caused by peritonitis, and measures such as conservative treatment, fasting, placing nasogastric tube to suck stomach contents, infusion to supplement water and electrolyte, and application of antibacterial drugs to prevent secondary infection in abdominal cavity can be taken.

Gastric perforation can cause chemical or bacterial peritonitis and toxic shock, which can be life-threatening if not rescued in time.

After the recovery of perforation operation, the diet should limit the dross. Fried food, celery, leek, bean sprouts, ham, bacon, dried fish and all kinds of coarse grains containing more crude fiber should be avoided. These foods are not only rough and difficult to digest, but also cause a large amount of gastric juice secretion, which increases the burden on the stomach. But digestible food, such as vegetable puree, can be eaten after processing. Do not eat foods that stimulate gastric acid secretion, such as broth and raw onions.