Dr. Nanda Rajaneesh | Appointment booking number: 8971755794
Consultant Onco Surgeon and Laparoscopic Surgeon|Apollo Spectra Hospitals, Bengaluru
Peptic Perforation is definitely a dangerous situation. Peptic Perforation involves perforation of the duodenum, perforation of the stomach, gastric perforation we call it. Hole in the stomach and hole in the duodenum, that is the digestive juices including the bile juice and the pancreatic juice, they are entering the abdominal wall or the abdominal cavity, and they start digesting the abdominal cavity, that is the normal tissues gets digested as though they are the food. So this is a very dangerous situation. So if you leave it patient may end up in SEPSIS. Sepsis means infection and that infections spreading into the blood and it can even cause multiple brain deaths and this can lead to death of the individual. So that is the reason why the earliest reason and intervention for Peptic Perforation is Surgery itself. So how do these patients present? So these patients with Peptic Perforation may be having Long Standing Ulcer symptoms, that is Abdominal pain post prandial or after eating food they may be having severe pain, gastric ulcers, and they may be having relief of pain in duodenal ulcers in such situations suddenly if the individual develops severe excruciating pain in abdomen suddenly that us going down into the abdomen casing distension of abdomen, abdominal Rigidity and guarding of the abdomen, then we think it is a perforation of abdomen and we evaluate these patients to look for gas under diaphragm. There are many methods of diagnosing these patients and only treatment is surgery, what we do is normally we do open surgery for Peptic Ulcer Perforation. But these days when individuals come in early stage, we can also close the perforation laparosocpially. Duodenal perforation can be closed laparoscopically. Most important step in the surgery is a good wash of the abdominal cavity and the method of stitching of this perforated area, the way we stitch it and we put a drain post surgery for 3 to 4 days to make sure even if there is a hole forming again, we identify it and it gets localized and it can be treated again later.
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