Gastrointestinal perforation
| Subclass of | organ perforation, intestinal disease |
|---|---|
| Health specialty | gastroenterology, emergency medicine |
Gastrointestinal perforation, dem sanso know as gastrointestinal rupture,[1] be a hole insyd de wall of de gastrointestinal tract. De gastrointestinal tract be composed of hollow digestive organs wey dey lead from de mouth to de anus.[2] Symptoms of gastrointestinal perforation commonly dey include severe abdominal pain, nausea, den vomiting.[3] Complications dey include a painful inflammation of de inner lining of de abdominal wall den sepsis.
Perforation fi be caused by trauma, bowel obstruction, diverticulitis, stomach ulcers, cancer, anaa infection.[3] A CT scan be de preferred method of diagnosis; however, free air from a perforation often fi be seen on plain X-ray.[3]
Perforation anywhere along de gastrointestinal tract typically dey require emergency surgery insyd de form of an exploratory laparotomy.[4] Dis usually be carried out along plus intravenous fluids den antibiotics.[4] Occasionally de hole fi be sewn closed while oda times a bowel resection be required.[4] Even plus maximum treatment de risk of death fi be as high as 50%.[4] A hole from a stomach ulcer dey occur insyd about 1 per 10,000 people per year, while one from diverticulitis dey occur insyd about 0.4 per 10,000 people per year.[1][5]
References
[edit | edit source]- 1 2 Domino, Frank J.; Baldor, Robert A. (2013). The 5-Minute Clinical Consult 2014 (in English). Lippincott Williams & Wilkins. p. 1086. ISBN 978-1-4511-8850-9. Archived from the original on 17 August 2016. Retrieved 4 August 2016.
- ↑ Langell, JT; Mulvihill, SJ (May 2008). "Gastrointestinal perforation and the acute abdomen". The Medical Clinics of North America. 92 (3): 599–625, viii–ix. doi:10.1016/j.mcna.2007.12.004. PMID 18387378.
- 1 2 3 Langell, JT; Mulvihill, SJ (May 2008). "Gastrointestinal perforation and the acute abdomen". The Medical Clinics of North America. 92 (3): 599–625, viii–ix. doi:10.1016/j.mcna.2007.12.004. PMID 18387378.
- 1 2 3 4 Langell, JT; Mulvihill, SJ (May 2008). "Gastrointestinal perforation and the acute abdomen". The Medical Clinics of North America. 92 (3): 599–625, viii–ix. doi:10.1016/j.mcna.2007.12.004. PMID 18387378.
- ↑ Yeo, Charles J.; McFadden, David W.; Pemberton, John H.; Peters, Jeffrey H.; Matthews, Jeffrey B. (2012). Shackelford's Surgery of the Alimentary Tract (in English) (7 ed.). Elsevier Health Sciences. p. 701. ISBN 978-1-4557-3807-6. Archived from the original on 2016-08-17.
External links
[edit | edit source]- Gastrointestinal perforation—MedlinePlus