"Guess what Chief Luo is doing?" Chief Du asked with a smile.
"Busy with laparoscopy? Or is he going out to see patients? "Zheng Ren did not pay attention at all and answered casually.
"He's learning your first few days of ESD surgery," Chief Du said. "We don't do it, and I don't know what's good about it. But I heard from others that Chief Luo has already organized the doctors under him to learn it three times."
The surgery he performed on Fan Tianshui's old squad leader?
Zheng Ren smiled. That surgery was indeed done very well. At the very least, he was satisfied with it.
The System evaluated that the completion rate was 100%. There was no doubt that it was a perfect surgery.
Chief Luo's eyes were really bright. In the end, that surgery was completed with microscopic technology to remove the pre-cancerous tumor. It was a field that ESD surgery had yet to touch.
Under normal circumstances, Fan Tianshui's old squad leader would definitely have to cut a section of the intestine to solve the problem.
However, he used microscopic technology and minimally invasive resection. The patient recovered especially quickly. The damage to the midnight snack should indeed be taken seriously.
Especially since it was a live broadcast of the surgery, many doctors who were in the field of laparoscopy noticed it.
The two of them came to the endoscopy room, changed their clothes, and went in.
In the corridor of the endoscopy room, some patients were sitting quietly. Chief Du led Zheng Ren directly to the demonstration room at the end.
"This is where the difficulty of microsurgery lies." Chief Luo wore glasses and stood in front of the screen very seriously.
The door was open. Zheng Ren saw Chief Luo's figure and heard his voice. A smile appeared on his lips.
For an old chief in his fifties, a safe retirement was the first consideration for many people.
Therefore, exposure to new technology was basically the work of younger professors who led the group. However, looking at the situation in front of him, Chief Luo still had the ambition and was very high.
The possibility of him personally performing microsurgery in his fifties was not high.
Whether his eyes were dazzling or not and whether his hands were shaking were all important problems.
It was very likely that Chief Luo could not do it himself, but he still had to promote this technology.
It seemed that in the future, there would be fewer gastrointestinal surgeries.
Zheng Ren was about to go in when a nurse ran over.
"Chief Luo, there's a small situation with the 8th hand. Please take a look," the nurse said at the door.
Chief Luo nodded and happened to see Zheng Ren.
"Boss Zheng, why are you here?" Chief Luo was a little surprised, but when he saw Chief Du, he immediately knew the reason.
"It's because of the endoscopic jejunal nutrition tube, right?" Chief Luo walked out and asked.
"Yes." Zheng Ren followed Chief Luo and said as he walked, "There are not many patients with hyperemesis gravidarum, and there are not many cases where the jejunal nutrition tube is kept until delivery. We can only try."
"Is it necessary?" Chief Luo still felt that there would be problems if he gave the patient enteral nutrition for a few months.
"The patient refused to induce labor no matter what I said. She vomited violently. Even if she survives to the day, I'm worried that there will be problems with the child," Zheng Ren said.
"Sure," Chief Luo agreed very straightforwardly.
The patient was under basic anesthesia. A doctor was holding a colonoscope and looking up at the screen.
On the screen, it was supposed to be a patch of red. That was the color of the lining of the colon.
Even if there was a small amount of residual stool because the patient's enema was not thorough, it was definitely not a lot.
However, the colonic lining displayed on the screen in front of him was alternating between red and white. It looked very similar to the patterns on watermelon skin.
"Chief, take a look. What's going on?" the doctor who was performing the colonoscopy said.
Chief Luo wasn't very sure either. He pondered for a moment.
"It's a cat-scratched colon, right?" Zheng Ren whispered.
"Hmm? Do you have a name? I've seen a few cases and followed them later. There's nothing special after the surgery, "Chief Luo was very honest.
Zheng Ren only had an impression of it because the image was too typical, so he just blurted it out.
After saying that, he also began to fall silent and went to the System library to read all kinds of information.
"Boss Zheng, what is a cat-scratched colon?" Chief Luo asked.
"It appeared very late. It's still just a theory. It hasn't been confirmed clinically." Zheng Ren smiled and said,
In 2007,
McDonnell was the first to give a similar description. Later, 32 similar cases were found out of 9,754 colonoscopies. "
"…" Chief Luo was speechless and glanced at Zheng Ren.
"This data was published by a doctor in John Hopkins' endoscopy room a year ago. The overall probability of a cat-scratched colon appearing should be this high," Zheng Ren said. "I look at the image. It shouldn't be a big problem."
His eyes were fixed on the screen, already engrossed in it.
After all, he was not a doctor in the endoscopy room. He could not squat in the endoscopy room to do gastroscopy every day, so he only saw similar data. This was the first time he had seen the true appearance of a cat-scratched colon.
The image of the patient's colon in front of him was particularly typical. The colon mucosa was red, and there were white linear tears around it.
It looked like a watermelon skin. Zheng Ren felt that it was more appropriate to call it a watermelon skin change instead of a cat-scratched colon.
However, it did not matter.
No matter what it was called, it was a disease.
Of course, it was too arbitrary to call it a disease. The current clinical judgment of a cat-scratched colon was not a disease at all.
"Boss Zheng?" Chief Luo called softly.
"Uh …" Zheng Ren was observing the colon when he was woken up by Chief Luo. He was a little embarrassed and said, "It's okay. The cat-scratched colon tends to occur in the cecum and ascending colon. It's more common in patients with collagen colitis and bypass colitis."
"Is it a disease? How should it be treated? "Chief Luo asked.
"It shouldn't be caused by a disease. Most studies believe that the main pathogenesis is the barotrauma of the colon mucosa caused by excessive air injection during colonoscopy.
Of course, there are also studies that believe that the intestinal lesions themselves cause the occurrence of this sign. "
Zheng Ren explained as he admired the characteristics of the cat-scratched colon under the microscope.
"In most cases like this, nothing will happen. Among the reported cases, only one case had a delayed perforation. Because the number is too small, it can be considered that it was a perforation caused by other complications, not caused by excessive inflation of the colon. "
"Chief, next …" the doctor who was performing the operation asked hesitantly.
"Continue doing it. Hurry up," Chief Luo said. "Take the image and send it to my email."
After saying that, Chief Luo glanced at Zheng Ren and asked, "Can it be avoided?"
"I don't think so." Zheng Ren was also thinking about this problem. "The inflation of the colon is based on a high probability and routine. Some patients have problems with the colon wall and can't be predicted in advance. In short, just be careful. "
"Yes, we always have to be careful," Chief Luo muttered. Chief Luo muttered, "As clinicians, we have to be careful. We can't be careless."
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
