KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT THỦNG ĐƯỜNG TIÊU HÓA DO DỊ VẬT TẠI BỆNH VIỆN NHÂN DÂN GIA ĐỊNH

Abstract

Objective: Gastrointestinal perforation due to foreign bodies is a surgical emergency, which can cause peritonitis and even threaten the patient's life if not treated promptly. This study aimed to investigate the outcome of surgical treatment of gastrointestinal perforation due to foreign bodies and the clinical and paraclinical characteristics of patients with these conditions. Method: Case series study. We retrospectively reviewed medical records of gastrointestinal perforation due to foreign bodies patients treated operatively at Nhan dan Gia Dinh Hospital from 2022 to 2024. Data were collected focusing on the clinical and paraclinical characteristics and the outcome of surgical treatment. Result: During the time from 2022 to 2024, 30 patients were indicated for surgery for gastrointestinal perforation (from esophagus to colon) due to foreign bodies. The male: female ratio is 2:1, mean age is 56.2 ± 18.4 years old. The distribution of the location of gastrointestinal foreign bodies: esophagus-stomach 3.3% (1/30), stomach 6.7% (2/30), duodenum 6.7% (2/30), jejunum and ileum 53.3% (16/30), colon 26.7% (8/30) và appendix 3.3% (1/30). The most imaging used to detect perforation due to foreign bodies is CT-Scan. The most common foreign body causing perforation is fish bone, 70% (21/30). The main surgical method is laparoscopic surgery to remove foreign bodies and primary repair. The rate of severe disease progression after surgery is 6.7% (2/30). The average postoperative hospital stay is about 6.5 days. The total of cases required living with stoma accounted for 20% (6/30). Conclusion: CT scanning is the most accurate exam with calcic density inside an inflamed area. Surgery intervention is indicated in complications of ingestion of foreign bodies on laparotomy or laparoscopy. Post-operative outcomes are acceptable.