KẾT QUẢ ĐIỀU TRỊ VIÊM PHÚC MẠC DO DỊ VẬT ỐNG TIÊU HOÁ TẠI BỆNH VIỆN ĐA KHOA AN GIANG

Abstract

Background: Foreign bodies in the digestive tract are a common problem. Most foreign bodies pass spontaneously, with less than 1% of patients requiring surgery. Objectives: To survey clinical and paraclinical characteristics, treatment results and management experience of peritonitis caused by gastrointestinal foreign bodies at the Department of General Surgery – An Giang General Hospital. Materials and methods: 71 patients diagnosed with peritonitis caused by gastrointestinal foreign bodies, before and during surgery, at the Department of General Surgery – An Giang General Hospital, from April 1, 2022 to August 31, 2025. Results: Male/female: 43/28, median age 58.46 ±13.52, common perforation locations: ileum (38%), stomach - duodenum (11.3%), jejunum (11.3 %), colon (36.62%), rectum (4.23%). Types of foreign body: Fish bone (80.3%), toothpick (8.5%), other animal bone (7%), average postoperative hospital stay: 7.9 ±3.45 days. Discharged 63 cases (88.7%), died 8 cases (11.27%). Conclusion: Gastrointestinal foreign bodies often occur in specific high-risk groups. Complications of gastrointestinal perforation are rare (<1%), but serious. CT scans have proven highly valuable in aiding diagnosis, identifying the cause and location of lesions. Emergency surgery combined with antibiotics is an essential treatment method. Community health education is essential to raise awareness and minimize the consequences of foreign body ingestion.