If someday medicine can achieve a breakthrough that organs can be replaced, surgeons can cut them at will. Is this possible? Creating organs is like creating a creator. It is too amazing. With the current scientific capabilities of human beings, it is a bit too far to achieve this goal. It is better to think about how to continue to kill tumor cells faster.
Similarly, where can we find the right medicine to fill the esophagus of a child who has a large hollow section of esophagus due to esophageal atresia? We can only let the child continue to grow organs to fill the gap. Please note that the esophagus cannot grow back to such a long section. Doctors hope that the nutrients can supply other organs to grow.
Long organs require nutrition, and the esophagus is closed so no nutrition can reach the digestive tract below.
The child cannot stop eating to supplement nutrition. This is a defect in the digestive tract structure. What needs to be done is not intravenous nutrition, but to quickly rebuild the digestive tract. At this time, the doctor will choose to perform gastric or intestinal fistula surgery on the patient.
It is also a fistula, but this time it is intentional and is a form of medical treatment. A hole is made on the surface of the abdominal cavity to dig a tunnel (fistula) to reach the patient's stomach or intestines. In this way, nutrients can be injected from the outside into the child's digestive tract for digestion and absorption.
The above fistula surgery is a first-stage surgery, and its goal is to prepare for the second-stage surgery.
Nutrition is sufficient, and the child's other organs grow healthily. When the child reaches a certain age, usually around 4, 5 or 6 years old, the doctor will check and determine that the child's other organs have grown strong, which means that the doctor can find materials to supplement the esophagus from the child's other organs.
The second stage of surgery is to do this: take part of the child's other organs to fill in the missing esophagus segment, reconnect the esophagus and stomach, and restore the normal digestive system.
This type of surgery is similar to esophageal cancer surgery, where a section of the stomach is cut to form the esophagus. Alternatively, a section of the intestine is cut to form the esophagus. This type of surgery is called gastric or colonic esophageal replacement.
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It sounds really cruel. This child is born to be treated similarly to a cancer patient.
After hearing this, who among the parents would still think it is good for their child to have type I?
Hu Hao raised the handkerchief given by the doctor and wiped the sweat off his face. Fortunately, he did not succeed in cursing his son.
Which is the best type? In summary, it is definitely V type (H type). H type is the only type of esophageal atresia in which the child's entire esophagus grows well, but there is just a fistula connected to the trachea. It is easier for doctors to deal with H type. Since last year, Seoul Children's Surgery has been able to use thoracoscopy to solve H type fistulas.
Compared with those surgeries that require large open-chest surgery, this surgery can be considered a "small incision" and can be considered a relatively "small" surgery in Seoul.
So, although Hu Hao, the parent, had previously yelled that his son was dangerous, in fact his son was a lucky one compared to other children.
You should know that children with congenital diseases like this often do not suffer from congenital malformation of a single organ. Many children are born with multiple organ malformations. It requires the cooperation of various departments to perform major surgery on the children.
In the eyes of the surgeons at Seoul Children's Hospital, the child's illness is relatively minor. As Dr. Wada said, he should wait in line to make way for other critically ill children. However, the doctor will not say that he does not take it seriously. Minor illnesses should not lead to major illnesses. He explained it clearly to the family members, so that they can rest assured and continue to do what they should do to avoid accidents.
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