Chapter 1344 [1344] The problem must be solved

   Dr. Shao sighed, knowing that the physician in his hospital had done his best, and said, "The patient's anastomotic stoma is narrow."

   "So it's more difficult to find." Yu Xuexian knew from experience, "It is estimated that the mirror is difficult to go down. How many times has he done balloon dilation before?"

   "Twice." Dr. Shao said.

   Anastomotic stenosis, like anastomotic leakage, is a very difficult postoperative complication problem. The cause of stenosis is usually scar hyperplasia, coupled with the feeding tube used by the patient, the lack of feeding activities in the gastrointestinal tract, and the lack of daily mechanical expansion of the anastomotic stoma through food, which aggravates the probability of stenosis.

  Balloon expansion is difficult, indicating that the scar tissue in this stenosis is estimated to be very hard. Yu Xuexian's expression became more serious, because he could already predict the troublesome nature of this case before seeing this patient. It was said that the internal medicine department came to try to help, and it may eventually need to be operated again.

   Fistulas must be addressed. Carrying a feeding tube can greatly affect the patient's quality of life. When you walk out of the house, you will be surrounded by people, as if you are looking at monsters. The patient suffers from depression, which in turn affects the condition. Moreover, nutrition management cannot solve the terrifying nature of fistulas by treating the symptoms but not the root causes. Small fistulas are not clearly displayed on CT, and doctors need to look carefully with their eyes. And don't underestimate these small fistulas, long-term leakage of intestinal fluid will slowly erode nearby organs, and it will become very troublesome to corrode such as the trachea. The trachea has a long opening, and if you think about it, you know what the result will be.

  The reason why cardiothoracic surgery is called one of the two specialties can be seen from these operations. Organs in the cardiothoracic region are complex anatomically close together and are very lethal. 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, rescue strategies are difficult.

   Quickly walked to the digestive endoscopy room. Xie Wanying and the others came from the outer hospital, and they needed to go to the dressing room next door to change into the work clothes of the visitors provided by the other hospital, which were also white coats.

   The patient was lying down in the endoscopy room, drowsy after pre-injection. Accompanied by doctors and nurses. The doctor has an anesthesiologist ready to give the patient intravenous anesthesia. Doctors who have patients are junior doctors. There are doctors in the Department of Gastroenterology of Xuanwu Hospital.

   Several medical students do not know Xuanwu's doctor, unlike teachers who often study and exchange with colleagues. When Yu Xuexian went in, he quickly recognized who the person in the other party's digestive system was.

   "Hello, hello, Dr. Yu." Director Guan, who was also in the digestive tract, was very familiar with him, and smiled and greeted him.

   "Why did Director Guan come in person?" Yu Xuexian asked. This patient is not a gastroenterology patient, so it is not necessary for the deputy director to appear in person.

   "I heard that Dr. Yu and your team have a way, I will learn from you." Director Guan said politely.

   For problems that cannot be solved by oneself, colleagues say that there is a way, that is to come and observe, and then the technology will be stolen.

   Yu Xuexian guessed the other party's plan, the problem is that the other party's plan is expected to fail this time. The female scholar in their medical school is the one who told their National Association that their own doctors could not steal teachers. I don't believe that Director Guan has a way to learn it.

   Several people were talking in the room, and suddenly realized 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 has come."

   (end of this chapter)

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