Chapter 2337 【2337】Intestines

After introducing the instrument, refer to the interventional operation. Now this operation has two steps to be done before treating the child under fluoroscopy.

The first is to determine whether the tube is in place in the human body, whether the tube is fixed, and whether the amount of fixed air bag is too large or too small.

Dr. Yang skillfully holds the joystick to see through the anus of the child. A small bright ball appears on the machine screen, indicating that the air bag has fully filled the anus.

The tube is not leaking or running, and it can be injected. The gas injection at this time is not for treatment, but like interventional procedures, it is necessary to judge whether the preoperative diagnosis is correct before proceeding.

When performing inspection and diagnosis, the gas injection volume does not need to be large, as long as it operates at the lowest insurance pressure value, generally 8kpa. This number was set by Dr. Yang and the others in the examination room when they debugged the machine, and now they only need to start the gas injection program remotely.

Gas whistling into the child's intestines, non-explosive intestines.

Dr. Yang holds the joystick in his hand to complete the continuous fluoroscopy of each part. On the screen, you can see the distribution map of the injected gas glowing group gradually moving forward and diffusing in the child's intestine.

As long as it is seen through, it can be said that all operations are carried out in an orderly manner under the control of doctors. The next question is whether this operation can successfully achieve the goal.

For the advanced diagnosis, the first step is to inject the gas into the ileum of the lesion. Prior to this, the gas had to travel a long distance through the intestinal tract as it progressed through the bowel. The human intestinal tract is not smooth like a pipe, but has twists and turns like eighteen bends. The statement of eighteen bends is an exaggeration. It is undeniable that some bends in the intestines are difficult for gas and liquid to pass even under normal circumstances. The most famous of these physiological flexures are the splenic flexure and the hepatic flexure.

The splenic flexure is located in the left upper abdomen of the human body, and is the corner from the transverse colon to the descending colon. Because it is located near the spleen, it is called the splenic flexure of the colon.

How difficult is this section to turn? It is said that the colonoscopy doctor has the most headache when performing colonoscopy to let the tube pass through this place smoothly.

Occasionally, the excrement and stool in the human body will get stuck in this place. Clinically, some patients have pain under the left ribs after meals or eating. It may be that gastritis, suspected pancreatitis, etc. have not been cured after a long investigation. In fact, there is a problem with the splenic flexure. Excessive adhesions in the splenic flexure of the colon develop into a benign stricture, which blocks gas and stool and makes the patient uncomfortable, which is called splenic flexure syndrome.

Going back to the current patient, the gas on the machine screen shows that it enters from the anal canal to the rectum and then to the sigmoid colon, and passes through the descending colon to retrograde from the super difficult bend of the splenic flexure of the colon to the transverse colon.

Dr. Yang's face gradually showed a serious look, and now the injection volume is small, just to test how much pressure the intestinal bend here can withstand, so as to avoid bursting the intestinal tube here when the air volume is increased.

The amount of gas distributed when the gas passes through the splenic flexure of the child is relatively low, which shows that the resistance encountered by the gas is extraordinary. Is it because of the intestinal obstruction caused by the previous intussusception? Or is the physiological part of the child itself more flexed? The doctor couldn't tell for a while. It is important to remind the doctor that if you increase the volume later, there will be very few options.

The difficulty after the splenic flexure is the liver flexure.

The hepatic flexure is the corner from the ascending colon to the transverse colon, and its physiological structure reaches a 90-degree bend. Because it is located under the liver, it is called the hepatic flexure of the colon. After the hepatic flexure, the ascending colon is followed by the cecum, which is very close to the ileocecal part where intussusception occurs.

Dr. Yang picked up the intercom and talked to the doctor in the examination room: "Dr. Duan, I'm afraid it's not very good."

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