Wei Guoyuan put his mouth close to his ear and spoke: "It's a female doctor."
There was only one female doctor at the scene, and she was very conspicuous. Shao Jialiang could easily recognize Xie Wanying, and a hint of surprise flashed across his eyes. It was not because she was a female doctor, but because she was really young. There were many excellent female doctors in the internal medicine department. There were many like Xuan Wu.
"Didn't I tell you? I'm an intern and haven't graduated yet." Wei Guoyuan raised his eyebrows at him, "And I'm studying surgery."
This girl wants to be a surgeon? Shao Jialiang was confused. It's not that girls can't be surgeons, but why do they want to be students of surgeons? They say they have unique skills in gastroenterology endoscopic techniques.
It could only be that he was so anxious that he had to cram at the last minute. He didn't listen to everything Wei Guoyuan said. He just thought that anyone could be asked to help solve the problem, and he even asked a medical student to join in.
"Thank you for coming and helping us." Shao Jialiang sincerely expressed his gratitude to several doctors from the National Association of Chinese Medicine.
"You're welcome." Yu Xuexian replied and glanced at Wei Guoyuan, knowing only that this man was much more shameless than Shao Jialiang.
Wei Guoyuan seemed not to have noticed his gaze. He smiled and said to them, "The patient is in the digestive endoscopy room."
On the way, Shao Jialiang introduced his patient to his colleagues: "He is malnourished, and his wounds heal much slower than normal people. He is now receiving nutritional injections."
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"Intravenous nutrition? If enteral nutrition is not working, don't you plan to do a jejunostomy?" As an internal medicine doctor, Yu Xuexian is also familiar with all the surgical methods of the gastroenterology department. Because even if it is a patient of his internal medicine department, in such a situation, he still has to consider asking the surgeon to help with the fistula.
Jejunostomy is a tube inserted into the patient's jejunum to facilitate the direct entry of nutrient solution dripped from outside the body into the patient's intestines. It is usually used as a temporary measure and must be removed after the patient resumes normal gastrointestinal feeding.
Yu Xuexian's words explained the basic principle of clinical treatment for patients who cannot eat normally through the digestive system. Even if the doctor has to make an incision in the patient, he must inject nutrient solution into the patient's intestines and avoid intravenous nutrition, that is, total parenteral nutrition, as much as possible. The reason is simple. The risk of total intravenous nutrition is too high and will cause many complications, such as high blood sugar, cholecystitis, blood clots, bacterial infections, etc., which can be fatal.
Doctors will only consider long-term intravenous nutrition for patients who are unable to receive enteral nutrition as a last resort. For example, Chen Chengran, a Crohn's disease patient who was just admitted today, is completely unable to eat. His intestines are inflamed and enteral nutrition is impossible. He can only rely on total parenteral nutrition through intravenous nutrition solution.
In response to the consulting doctor's question, Shao Jialiang explained: "This patient was diagnosed with adenocarcinoma of the lower esophageal cardia and gastric fundus four months ago. The tumor was relatively large, so he underwent total gastrectomy with esophagojejunostomy for digestive tract reconstruction and removal of surrounding lymph nodes. During the operation, an intestinal nutrition tube must be reserved for him to allow the nutrient solution to reach his jejunum directly through nasogastric feeding for enteral nutrition. Enteral nutrition support was given to him during the early postoperative period when he could not eat."
Let's talk about enteral nutrition again. Enteral nutrition is divided into two types according to the feeding route: oral and catheter. Oral means that the patient can supplement the nutrient solution by mouth. The most common catheter is the nasogastric tube, which goes from the nasal cavity to the stomach.
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