Chapter 1344 【1344】The Problem Must Be Solved
Dr. Shao sighed, knowing that the physicians in his hospital had tried their best, and said, "The patient's anastomotic stoma is narrow."
"So it's even more difficult 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 after surgery. The cause of the stenosis is usually scar hyperplasia, coupled with the nutrition tube used by the patient, there is no feeding activity in the gastrointestinal tract, and the daily mechanical expansion of the anastomosis does not pass food, which aggravates the probability of stenosis.
It was difficult to expand the balloon, indicating that the tissue of scar hyperplasia in this narrow area is estimated to be very hard. Yu Xuexian's face became more serious, because he could have predicted the difficult nature of this case before seeing the patient. It is said that the internal medicine department came to try to help, but it may eventually require another operation.
Fistula must be resolved. Wearing a nutrition tube affects the patient's quality of life. When you go out of the house, you will be surrounded by people, as if you are being looked at by someone looking at a monster. The patient will suffer from depression as a result, and then affect the condition. What's more, nutritional management can treat the symptoms but not the root cause, and it cannot solve the terrible nature of the fistula. Small fistulas are not clearly displayed on CT, and doctors need to use their eyes to find them carefully. And don't underestimate these small fistulas. Leaking intestinal fluid for a long time will slowly erode nearby organs, and it will become very troublesome if it corrodes to the trachea. There is a hole in the trachea, and you can know what the result will be if you think about it.
The reason why cardiothoracic surgery is called one of the two major specialties can be seen from these operations. The organs in the cardiothoracic position are complex anatomical positions close together and very deadly. The lungs and heart are related to the most basic physiological functions of the human body to maintain life, breathing and heartbeat. Once the risk is too urgent, it is difficult to rescue it.
Walk quickly to the digestive endoscopy room. Xie Wanying and the others came from the outer hospital, so they had to go to the dressing room next door to change into the work clothes of the visitors provided by the other hospital, which were also white coats.
The patient was lying down in the endoscopy room, drowsy after pre-injection. Accompanied by doctors and nurses. The doctor has an anesthesiologist who is going to give the patient intravenous anesthesia. Bed doctors with patients are junior doctors. There are doctors from the gastroenterology department of Xuanwu Hospital.
Several medical students don't know Xuanwu's doctors, unlike the teachers who often learn and communicate with others and know their peers. When Yu Xuexian entered, he quickly recognized the person in the other person's digestive system. The person looked very familiar. He thought it was Director Guan, the deputy director of the Gastroenterology Department of Xuanwu Hospital.
"Hello, hello, Doctor Yu." Director Guan, who is also in the digestive system, 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 ideas. Let me learn from you." Director Guan said politely.
For problems that I can't solve by myself, colleagues say there is a way, so I want to come and observe, and then the technology will steal the teacher.
Yu Xuexian guessed the other party's plan, but the problem is that this time the other party's plan will fail. The female top student in their medical school is the one who told them that even their own doctors in the National Association of China can't steal their teachers. I don't believe Director Guan has a way to learn it.
Several people were talking in the room, and suddenly realized that the two surgeons, Dr. Shao and Wei Guoyuan, hadn't followed in.
Director Guan thought of something and told Yu Xuexian and the others: "Guozhi is here."