Dr. Shao sighed, knowing that the physicians at his hospital were doing their best, and said, "The patient has anastomotic stenosis."
"So it's harder to find." Yu Xuexian knows 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 postoperative complication to solve. The cause of stenosis is usually scar hyperplasia. In addition, the patient uses a feeding tube, the gastrointestinal tract does not have eating activities, and the anastomosis does not undergo daily mechanical expansion with food, which aggravates the probability of stenosis.
It is difficult to expand the balloon, which means that the scarred tissue in this narrow area is probably very hard. Yu Xuexian's expression became more serious because he could already predict the difficult nature of this case before seeing the patient. It was said that the internal medicine department would try to help, but he might need another surgery in the end.
Fistulas must be addressed. Wearing a feeding tube greatly affects the patient's quality of life. When you walk out of your home, you will be surrounded by people, and you will be looked at like a monster. The patient will suffer from depression as a result, which will further affect the condition. Moreover, nutritional management cannot address the horrific nature of fistulas by treating the symptoms rather than the root cause. Small fistulas are not clearly visible on CT scans, and the doctor needs to use their eyes to find them carefully. And don’t underestimate these small fistulas. Long-term leakage of intestinal fluid will slowly corrode nearby organs. Corrosion to the point like the trachea can become very troublesome. If there is a hole in the trachea, you know what the result will be.
The reason why cardiothoracic surgery is called one of the two major specialties can be seen from these operations. The organs in the cardiothoracic region are located in complex anatomical close proximity and are very lethal. The lungs and heart are related to the human body's most basic physiological functions of maintaining life: breathing and heartbeat. Once the risk is too urgent, rescue strategies are difficult.
Walk quickly to the digestive endoscopy room. Xie Wanying and the others came from another hospital and needed to go to the dressing room next door to change into the visitor work clothes provided by the other hospital, which were also white coats.
The patient was lying down in the endoscopy room and was drowsy after receiving the injection in advance. There are doctors and nurses with you. The doctor has an anesthesiologist and is preparing to give the patient intravenous anesthesia. The doctor in charge of the patient is a junior doctor. There are doctors from the Gastroenterology Department of Xuanwu Hospital.
Several medical students did not know Dr. Xuanwu, unlike the teacher who often communicated with others and got to know his colleagues. When Yu Xuexian entered, he quickly recognized who the person in the other party's digestive system was. The other person looked familiar, and he thought it was Director Guan, the deputy director of the Gastroenterology Department of Xuanwu Hospital.
"Hello, hello, Doctor Yu." Director Guan, who was also a member of the Department of Digestive Surgery, 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 a method, and I'm here to learn from you." Director Guan said politely.
For problems that cannot be solved by oneself, colleagues say that they have a solution and they want to come over and observe, so that they can learn from their technical skills.
Yu Xuexian guessed the other party's plan, but the problem was that this time the other party's plan would fail. This female top student in their medical school is someone who even the doctors of the National Association of China cannot steal from her. I don’t believe Director Guan has a way to learn it.
Several people were talking indoors, and suddenly realized that the two surgeons, Dr. Shao and Wei Guoyuan, did not follow them in.
Director Guan thought of something and told Yu Xuexian and the others: "Someone from Guozhi is here."
