Chapter 1497

"Guess what director Luo is doing?" Director Du asked with a smile.

"Busy with endoscopy? Or out of the clinic?" Zheng Ren was not distracted at all and answered casually.

"Learning ESD surgery in your first few days." Director Du said, "we don't do it, and we don't know what to do well, but I heard that director Luo has organized his doctors engaged in endoscopy to learn it three times."

The operation for old monitor fan Tianshui?

Zheng Ren smiled. The operation was really good. At least he was satisfied.

According to systematic evaluation, the completion rate is 100%, which is undoubtedly a perfect operation.

Director Luo's eyes are really bright. That operation finally completed the removal of precancerous tumors with microscopy, which is a field that has not been touched by ESD operation.

Under normal circumstances, fan Tianshui's old monitor must cut a section of intestines open to solve the problem.

However, with micro technology and minimally invasive resection, the patient recovers very quickly and the injury is small. Indeed, it should be paid attention to.

Especially the live operation. I don't know how many doctors engaged in endoscopy noticed it.

They came to the mirror room and changed their clothes.

In the corridor of the mirror room, some patients waiting to be diagnosed sat quietly. Director Du led Zheng Ren to the last classroom.

"Here is the difficulty of microsurgery." Director Luo wore glasses and was very serious in front of the screen.

The door was open. Zheng Ren saw director Luo's figure and heard his voice with a smile on his mouth.

For old directors in their fifties, safe retirement is the first consideration for many people.

Therefore, exposure to new technologies is basically a matter for younger group professors. But looking at the current situation, director Luo is still angry and high.

In his fifties, he was exposed to microsurgery, and it was unlikely that he could operate the knife himself.

Whether your eyes are bright or not and whether your hands are shaking are important issues.

It is very likely that director Luo can't do it by himself, but we should also promote this technology.

It seems that there will be less gastrointestinal surgery in the future.

Zheng Rengang was about to go in when a nurse ran over.

"Director Luo, there is a small condition in 8 hands. Go and have a look." The nurse said at the door.

Director Luo nodded and just saw Zheng Ren.

"Boss Zheng, why are you here?" Director Luo was a little surprised, but immediately saw director Du and immediately knew the reason.

"It's about the endoscopic jejunal nutrition tube." Director Luo came out and asked.

"Yes." Zheng Ren went to eight hands with Director Luo and said, "there are not many patients with hyperemesis gravidarum. There are not many cases of indwelling jejunal nutrition tube until delivery. We can only try."

"Is it necessary?" Director Luo still feels that he will give patients enteral nutrition for a few months for fear of problems.

"The patient refused to induce labor and vomited violently. Even if he survived, I was worried that the child would have problems." Zheng Rendao.

"OK." Director Luo simply agreed.

After eight hands, the patient was under basic anesthesia. A doctor was looking up at the screen with an enteroscope in his hand.

On the screen, it should have been a red piece, which is the color of the inner lining of the colon.

Even if sometimes there is a small amount of stool residue due to incomplete enema, it will never be much.

However, the colon intima on the screen is red and white. It looks very similar to the pattern of watermelon skin.

"Director, give me a slap. What's the situation?" The doctor who is doing colonoscopy said.

Director Luo was not sure. He pondered for a while.

"It's a cat scratch colon." Zheng Ren whispered.

"Hmm? Do you have a name? I've seen a few cases, followed up later, and there's nothing special after the operation." Director Luo is very honest.

Zheng Ren was just impressed. Because the image was too typical, he blurted it out directly.

With that, he also began to be silent and went to the system library to read all kinds of materials.

"Boss Zheng, what is cat scratch colon?" Director Luo asked.

"It appeared very late. It is only a statement now and has not been finally confirmed by the clinic." Zheng Ren smiled and said, "McDonnell first made a similar description in 2007. Later, 32 similar cases were found in 9754 cases of colonoscopy."

"..." director Luo was speechless and looked at Zheng Ren.

"This data was published by doctors in Johns Hopkins's endoscopy room the year before last. The probability of overall cat scratch colon should be so large." Zheng Ren said, "when I look at the image, it shouldn't be a problem."

His eyes were fixed on the screen and he was absorbed.

After all, I'm not a doctor in the endoscopy room. I can't squat in the endoscopy room for gastrointestinal endoscopy day by day, so I just saw similar data. This is the first time to observe the real appearance of cat scratch colon.

The image of this patient's colon is particularly typical. The colonic mucosa is red and surrounded by linear tears of white.

Looking at the watermelon skin, Zheng Ren thought it was more appropriate to call the watermelon skin change, rather than the cat scratch colon.

But it doesn't matter.

What's the name? It's all a disease.

Of course, it is too arbitrary to say that the condition of cat scratch colon is not a disease at all.

"Boss Zheng?" Director Luo called softly.

"Er..." Zheng Ren was observing his colon. He was awakened by director Luo. He was a little embarrassed and said, "it's all right. Cat scratch colon often occurs in the cecum and ascending colon. It is more common in patients with collagen colitis and bypass colitis."

"Is it a disease? How to treat it?" Director Luo asked.

"It should not be caused by disease. Most studies believe that the main pathogenesis is colonic mucosal barotrauma caused by excessive air injection during colonoscopy.

Of course, some studies believe that the intestinal lesions themselves lead to the occurrence of the syndrome. "

Zheng Ren explained while appreciating the microscopic characteristics of cat scratch colon.

"In most cases, nothing will happen. Of the reported cases, only one case had delayed perforation. Because the number is too small, it can be considered that perforation caused by other complications, rather than excessive inflation in the colon."

"Director, next..." the doctor who was doing the operation asked hesitantly.

"Keep doing it and hurry up." Director Luo said, "stay and send the image to my mailbox."

With that, director Luo glanced at Zheng Ren and asked, "can it be avoided?"

"Should not." Zheng Ren is also thinking about this problem. "Inflation in the colon is given according to 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, always be careful." Director Luo murmured, "we should be careful when we do clinical work. We must not be careless."