Dr. Shao sighed, knowing that the physicians at his hospital were doing their best, and said, "The patient's anastomotic stoma is stenotic."
"So it's harder to find." Yu Xuexian knew from experience, "It's probably difficult to get the mirror down. How many times has he had balloon dilation before?"
"Twice." Dr. Shao said.
Anastomotic stenosis, like anastomotic leakage, is a very difficult complication to solve after surgery. The cause of stenosis is usually scar hyperplasia, coupled with the feeding tube used by the patient, there is no eating activity in the gastrointestinal tract, and there is no passage of food through the anastomosis.
Routine mechanical expansion increases the chance of stenosis.
It is difficult to expand the balloon, indicating that the scarred tissue in this narrow area is probably very hard. Yu Xuexian's face became more serious because he could have predicted the difficult nature of this case before seeing the patient. He said he was an internal medicine specialist.
Come and try to help, you may end up needing another surgery.
Fistulas must be solved. Wearing a feeding tube will greatly affect the patient's quality of life. People will look at them when they go out of the house, as if they are looking at monsters. The patient will suffer from depression, which will further affect the condition of the patient.
Moreover, nutritional management, which treats the symptoms rather than the root cause, cannot solve the terrible nature of fistulas. Small fistulas are not clearly displayed on CT scans, and doctors need to use their eyes to find them carefully. And don’t underestimate these small fistulas. Long-term leakage of intestinal fluid will cause
Slowly eroding nearby organs, such as the trachea, it will become very troublesome. If there is a hole in the trachea, you will know what the result will be.
The reason why cardiothoracic surgery is called one of the two major specialties can be seen from these surgeries. The organs in the cardiothoracic region are complex anatomical positions that are close together and very lethal. The lungs and heart are related to the most basic physiology of the human body to maintain life.
Functional breathing and heartbeat, once the risk is too urgent, the rescue strategy is difficult.
We walked quickly to the gastrointestinal endoscopy room. Xie Wanying and the others came from another hospital and needed to go to the dressing room next door to change into the visitor work clothes provided by the other hospital, which were also white coats.
The patient was lying in the endoscopy room, drowsy after receiving an injection in advance. He was accompanied by doctors and nurses. The doctor and an anesthesiologist were preparing to give the patient intravenous anesthesia. The patient's bedside doctor was a junior doctor.
There are doctors from the Gastroenterology Department of Xuanwu Hospital.
Several medical students did not know the doctors at Xuanwu. Unlike the teachers, who often communicated with others and got to know their colleagues. When Yu Xuexian entered, he quickly recognized the person in the doctor’s digestive tract. He looked familiar. He thought it was Xuanwu Hospital.
Director Guan, deputy director of the Department of Gastroenterology.
"Hello, hello, Doctor Yu." Director Guan, who was also a gastroenterologist, was very familiar with him and greeted him with a smile.
"Why did Director Guan come in person?" Yu Xuexian asked. This patient is not a gastroenterology patient, so there is no need for the deputy director to appear in person.
"I heard that Dr. Yu and your team have a method, and I'm here to learn from you." Director Guan said politely.
For problems that I can't solve myself, my colleagues say they have a solution and they want to come over to observe and learn from their technical skills.
Yu Xuexian guessed the other party's plan. The problem is that this time the other party's plan will fail. This female top student in their medical school is someone who tells them that even the doctors of the National Association cannot steal the teacher. I don't believe that Director Guan has a way to learn from it.
Got it.
Several people were talking indoors, and suddenly realized that the two surgeons, Dr. Shao and Wei Guoyuan, had not followed them in.
Director Guan thought of something and told Yu Xuexian and others: "Someone from Guozhi is here."