Early gastroscopy after closure of gastroduodenal perforation by conservative treatment
10.3760/cma.j.issn.1007-631X.2016.04.016
- VernacularTitle:胃十二指肠穿孔保守治疗闭合后穿孔病因的早期诊断
- Author:
Gang CHEN
;
Yexing LIU
;
Zhehong ZHUANG
;
Jianbao ZHANG
;
Kui HE
;
Zhihao LIANG
- Publication Type:Journal Article
- Keywords:
Peptic ulcer perforation;
Gastroscopy
- From:
Chinese Journal of General Surgery
2016;31(4):316-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate early diagnosis by gastroscopy for the causes of gastroduodenal perforation after successful non-surgical treatment.Method Gastroduodenal perforation patients suspected of benign ulcer in origin on hospital admission undergoing successful non-surgical treatment were examined by gastroscopy within days after the closure.Results Among 284 patients undergoing gastroscopy,277 cases (97.5%) were diagnosed as gastroduodenal ulcer,3 cases (1.1%) as gastric carcinoma,1 case (0.4%) of duodenal diverticulum.There were not major complications developing after gastroscopy.Conclusion Early gastroscopy performed after closure by non-surgical treatment in gastroduodenal perforation patients is safe,helping make definite diagnosis for the cause of perforation.