Dr. Shao sighed, knowing that the internists in his hospital had done their best, and said, "The patient's anastomosis is narrow."
"That makes it even harder to find." Yu Xuexian knew from experience, "It's probably hard to get the mirror down. How many times has he done balloon dilatation before?"
"Twice." said Dr. Shao.
Anastomotic stenosis, like anastomotic fistula, is a very difficult complication to resolve after surgery. The cause of stenosis is usually scar hyperplasia, coupled with the patient's feeding tube, the lack of gastrointestinal activity, and the lack of daily mechanical dilation of the anastomosis through food, which increases the probability of stenosis.
Balloon dilatation was difficult, indicating that the scar tissue in this narrow area was probably very hard. Yu Xuexian's face became more serious, because he could predict the difficult nature of this case before he saw the patient. He said that the internal medicine department would try to help, but surgery might be needed in the end.
Fistulas must be solved. Wearing a feeding tube greatly 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 others with a monster's eye. The patient will suffer from depression, which will then affect the condition. Moreover, the feeding tube only treats the symptoms and not the root cause, and cannot solve the terrible nature of the fistula. Small fistulas are not clearly displayed on CT scans, and doctors need to use their eyes to carefully look for them. And don't underestimate these small fistulas. Long-term leakage of intestinal fluid will slowly erode nearby organs, and corrosion to the trachea will become very troublesome. If there is a hole in the trachea, you can imagine 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 area are complex anatomical positions, close to each other 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, the rescue strategy is difficult.
They walked quickly to the digestive endoscopy room. Xie Wanying and her team came from another hospital, so they needed to go to the dressing room next door to change into the work clothes provided by the other hospital for visitors, which were also white coats.
The patient was lying in the endoscopy room, drowsy from the injection. There were doctors and nurses accompanying him. The doctor was an anesthesiologist, preparing to give the patient intravenous anesthesia. There was the patient's attending physician, a junior physician. There was a doctor from the Department of Gastroenterology at Xuanwu Hospital.
...
...
Several medical students did not know the doctors at Xuanwu Hospital, and unlike teachers, they often exchanged ideas with colleagues. When Yu Xuexian entered, he quickly recognized the person in the gastroenterology department. The person looked familiar, and it turned out to be Director Guan, the deputy director of the gastroenterology department of Xuanwu Hospital.
"Hello, hello, Doctor Yu." Director Guan, who is also a gastroenterologist, was very familiar with him and greeted him with a smile.
"Why did Director Guan come here in person?" Yu Xuexian asked. This patient was not a gastroenterology patient, so there was no need for the deputy director to come in person.
"I heard that Dr. Yu and your team have a solution. I'm here to learn from you," Director Guan said politely.
When I couldn't solve a problem myself, my colleagues said they had a way to solve it and asked me to come and observe and learn from them.
Yu Xuexian guessed the other party's plan, but the problem was that he thought the other party's plan would fail this time. The female academic bully in their medical school was the one that made their own doctors in the National Association unable to steal her skills. I don't believe that Director Guan has a way to learn from her.
Several people were talking in the room, and suddenly they noticed that the two surgeons, Dr. Shao and Wei Guoyuan, did not come in.
Director Guan remembered something and told Yu Xuexian and the others, "Guozhi is here."
Continue read on readnovelmtl.com
