Clinical analysis of 11 cases with upper gastrointestinal perforation receiving ineffective transfer surgery

Objective To investigate the time and clinical effects of transfer surgery for patients with upper gastrointestinal perforation who had received unsuccessful conservative treatment.Methods Clinical information of 11 patients with upper gastrointestinal perforation who suffered from aggravating abdominal pain and distension,demonstrated hyperpyrexia or shock and received transfer surgery 12 hours after receiving conservative treatment were analyzed retrospectively.Nine patients received perforation repair,one patient received routine palliative gastric cancer resection(subtotal gastrectomy),and one received radical distal gastric cancer resection.Results Ten patients were cured by transfer surgery and one died.Conclusion For patients with upper gastrointestinal perforation,if the clinical effects of early conservative treatment are poor and the peritonitis aggravates,the surgical treatment should be applied timely.