It turns out that there are three types of complications after gastric perforation surgery

Gastric perforation surgery is the treatment method chosen by many patients with gastric perforation, but not every patient who undergoes gastric perforation surgery can recover completely. If the gastric perforation surgery is not well cared for, many complications will occur. Let us take a closer look at the complications after gastric perforation surgery!

One of the complications after gastric perforation surgery is postoperative bleeding: Closely observe changes in blood pressure and pulse after surgery. Intra-abdominal bleeding often manifests as symptoms of hemorrhagic shock, accompanied by peritoneal irritation signs such as abdominal distension, general abdominal tenderness, and obvious rebound pain. Therefore, during nursing, the patient's abdominal changes should be closely observed.

The second complication after gastric perforation surgery is infection: acute perforation of the stomach and duodenum after a full meal causes diffuse peritonitis, and abdominal cavity or incision infection may occur after surgery. The patient's body temperature usually returns to normal 3 to 5 days after surgery and the incision pain disappears. If the body temperature rises at this time and local pain and tenderness occur, it indicates the presence of inflammation. In this group of cases, 2 patients had elevated body temperature and wound infection on the 4th to 5th day after surgery. They were given partial suture removal, adequate drainage, and daily wound dressing changes, and the wound healed after about 2 weeks.

The third complication after gastric perforation surgery is anastomotic obstruction: Anastomotic obstruction is manifested by abdominal distension after the removal of the gastric tube or after eating, accompanied by vomiting of gastric contents that may be mixed with bile. Two patients in this group had anastomotic obstruction. Iodine contrast imaging showed stenosis of the gastrojejunal anastomosis, which was considered to be inflammatory edema. After conservative treatments such as fasting and infusion, the edema disappeared and resolved on its own.