Gastric perforation
| Classification according to ICD-10 | |
|---|---|
| K25.1 | Gastric ulcer: Acute, with perforation |
| K25.5 | Ulcus ventriculi: Chronic or unspecified, with perforation |
| S36.3 | Injury to the stomach |
| ICD-10 online (WHO version 2019) | |
The gastric perforation , even perforation of the stomach , is an abnormal opening in the stomach wall, usually as a complication due to a gastric ulcer or a gastric cancer , sometimes after injury by medical interventions ( gastroscopy ) iatrogenic may be caused. As a result, if the perforation is open, stomach contents can leak into the abdominal cavity and inflammation of the peritoneum ( peritonitis ), while covered perforations ( covered by neighboring structures or adhesions) can lead to fistula formation with neighboring organs . The clinical picture can range from freedom from symptoms to an acute abdomen .
The clinical suspicion of gastric perforation is demonstrated by the presence of free air in the X-ray overview of the chest (sickle-shaped under the diaphragm).
The therapy of an open perforation is surgically as an over-sewing as part of a laparotomy . A partial resection of the stomach may be necessary in the case of large defects. Covered perforations without symptoms can be treated conservatively under certain circumstances, whereby the stomach is relieved with a nasogastric tube.
literature
- Jörg R. Siewert, M. Rothmund, Volker Schumpelick (eds.): Practice of visceral surgery: gastroenterological surgery. 2nd Edition. Springer, Berlin 2006, ISBN 3-540-29040-0 , p. 320.
Web links
Individual evidence
- ↑ Brockhaus Encyclopedia, keyword 'gastric breakthrough' .
