What To Do If You Have A Perforated Gastric Ulcer

A gastric ulcer is a common condition affecting the digestive system, and one of its most serious complications is perforation. With improvements in living standards, the incidence of gastric perforation has gradually decreased. However, when a gastric ulcer does lead to perforation, appropriate treatment must be tailored to the individual case. Below are the recommended approaches based on the type of perforation:

Acute Perforation: Recognizing The Signs And Immediate Action

Acute perforation often presents with severe symptoms such as abdominal tenderness, rigidity of the abdominal wall (commonly referred to as "board-like abdomen"), muscle guarding, and rebound tenderness. These signs indicate peritoneal irritation due to stomach contents leaking into the abdominal cavity. In such cases, prompt evaluation by a medical professional is critical. Some patients may require emergency surgery to repair the perforation, while others with more extensive damage might need partial gastrectomy to remove the affected area.

Chronic Perforation: Conservative Management Options

In contrast, chronic perforation tends to develop more slowly. If the greater omentum has already wrapped around the ulcer, forming a protective barrier, conservative medical treatment may be sufficient. Patients are typically advised to fast and receive medications that suppress acid production, such as proton pump inhibitors, to promote ulcer healing. In mild cases, especially those involving small perforations, non-surgical management can lead to successful recovery without the need for invasive procedures.

Seeking Prompt Medical Attention Is Crucial

Regardless of the type of perforation, timely diagnosis and treatment are essential. Whether opting for emergency surgical intervention or choosing a conservative medical approach, the ultimate goal is to facilitate ulcer healing and prevent further complications. It's important for patients to follow their doctor's recommendations closely and undergo any necessary follow-up care to ensure a full recovery and reduce the risk of recurrence.