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How to properly treat endoscopic perforation
1Department of Gastroenterology, Yiwu Tianxiang Medical Oriental Hospital, Yiwu, China.
Medicine
|February 6, 2026
Summary
Appropriate treatment after endoscopic gastric perforation closure involves antibiotics based on patient symptoms. Early oral feeding can shorten hospital stays, while gastric tubes may increase discomfort.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Medical Treatment Efficacy
Background:
- Endoscopic closure is a common treatment for gastric perforation.
- Optimal post-procedure management strategies require further investigation.
- Identifying factors influencing recovery is crucial for patient outcomes.
Purpose of the Study:
- To evaluate treatment measures following endoscopic closure of gastric perforation.
- To determine relationships between various interventions and patient outcomes (body temperature, abdominal pain, length of stay).
Main Methods:
- Retrospective analysis of patients undergoing endoscopic closure of gastric perforation.
- Statistical analysis to assess correlations between treatment factors (stomach tube, fasting time, antibiotics, tumor site, operation time, endoscopic method) and outcomes.
Main Results:
- Body temperature correlated significantly with fasting time and antibiotics.
- Abdominal pain incidence correlated significantly with gastric tube use, fasting time, and antibiotics.
- Length of stay correlated significantly with fasting time, body temperature, and abdominal pain.
Conclusions:
- Antibiotic use post-perforation repair should be guided by patient's abdominal pain and body temperature.
- Gastric tubes may contribute to patient discomfort and abdominal pain.
- Early oral feeding is recommended to reduce length of stay after endoscopic gastric perforation closure.
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