v3 Chapter 2695： new technology

The most common complication after esophageal cancer is anastomotic fistula.

Because the elasticity of the esophagus is not good, there may be problems with blood flow after anastomosis, leading to a series of complications.

The higher the esophageal cancer, the more difficult it is to treat, because the higher the gastric stretch, the greater the tension, and the greater the tension, the worse the blood flow at the anastomosis.

All of these Linger understand, he was a bit embarrassed when he saw Professor Lu said this, and knew in his heart why.

There is a fistula at the anastomosis, and the local tissue is congested and edema, and the healing is not good. When the stent is lowered, once the stent is poked on the part of the anastomosis that has not completely healed, it may cause greater tearing.

Otherwise, Director Luo would not say that he refused gastroscopy at first, because he was worried about its appearance and development.

The current situation of the patient has nothing to do with 912. Once there are secondary, especially surgical and traumatic operations, it is 912's pot.

"When can Mr. Kong step down?" Linge asked.

"It's coming," said Professor Lu. "I'm really embarrassed to ask Director Kong every time for help."

"Okay, the patient's condition is very clear, is it okay elsewhere," Linger asked.

"Uh ... Director Lin, it's okay to look at other positions now, don't scare me." Professor Lu said, "It's been 1 month since the operation, and I haven't grown up yet. It is really possible that a sneezing person may appear Nothing. "

This is an old terrier of 912.

That was a few years ago. A similar patient was just ordinary esophageal cancer without a total gastrectomy. However, the entire course is similar, and anastomotic fistulas also appear after surgery.

At the time, it was also a hospital consultation hosted by Lin Ge, because Director Kong did not study abroad at home, and Zhao Wenhua came. He was not sure about the stent placement in the postoperative patient, so he adopted conservative treatment.

The patient's chest is flushed daily, and the drainage is unobstructed. When everyone saw hope, the aorta next to the esophagus was corroded by dirt for a long time, and it was broken by a sneeze.

That's why Linger asked.

Professor Lu also knew about this patient. When he thought of the patient's blood spurting out at that time, he was gone. It was scary to look at the bloodstains of the house.

Later, due to this incident, several exchange activities were organized between the departments, and Director Ye Qingqiu personally presided over it. Mutual communication, the medical office made a guarantee, and Director Kong took over the job.

However, Director Kong's level is still high, belonging to the kind of bold and attentive. In recent years, he has not had any problems with the stent operation of anastomotic fistula after esophageal cancer surgery.

Linger was not in a hurry. He just looked at the right Xiao Cao beside Professor Feng, wondering when she would speak, and talked about what happened to the endoscopic surgery she wanted to do.

This is the case with medical technology. People who sneezed in the past few years are gone. For example, patients with this type of esophageal anastomotic fistula previously had to be constantly flushed, kept clean and strengthened in nutrition to allow the anastomotic stoma to grow.

It's time for luck.

With interventional surgery, the survival rate of patients after being able to get the stent is much higher. What new technology has Quan Xiaocao mastered? Even Director Luo felt curious. Is it something that Master Zheng secretly taught?

Ringer's mind began to move.

But unlike it, Boss Zheng had no interest in this case at all, and sat there honestly making a red rope. If he taught it to Quan Xiaocao, he would have to come to see if it was the first operation.

Lin Ge was chatting while waiting for Director Kong to come, but he didn't see Quan Xiaocao talking. Not only did she not speak, she kept her head down, seemingly afraid to even look up.

The child was really irritated, Linger thought to himself.

But it is also the director of a room, a group professor, and a student. If you stand up and talk at this time, it is not Quan Xiaocao but Boss Zheng Renzheng.

"咚咚咚 ~" The knock sounded.

Fang Lin opened the door the first time, but it was not Director Kong but Boss Zheng who came in.

"Boss Zheng, why are you here?" Fang Lin asked softly.

"Director Kong encountered some problems during the operation and asked the nurse to call me to attend the consultation." Zheng Ren smiled. "What's the situation?"

After the trainee brought by Professor Lu said the patient's condition again, Zheng Ren took the film for 3 minutes and said, "The next stent alone, the probability of recovery is still a little low."

"No way, I'm very content to be able to lower down the stand steadily." Professor Lu sighed.

"There is nothing wrong with the lower bracket. I suggest to make an endoscope again." Zheng Rendao.

Endoscope!

Boss Zheng proposed to be an endoscope. This intensity is completely different from Quan Xiaocao's.

Director Luo asked with interest: "Boss Zheng, the students of Professor Feng also said that they can do endoscopy. What kind of treatment is this?"

"Oh? Xiao Cao has already begun to contact this one?" Zheng Ren glanced at Quan Xiao Cao and smiled: "Xiao Cao?"

Quan Xiaocao sounded like a mosquito, but still didn't look up.

Zheng Ren knew that the temper of this product was a bit helpless. The operation was clearly done well, and the contact endoscopy treatment was regarded as a descent into the room according to Su Yun's statement, how dare not even say a word.

"In recent years, there has been an endoscopic technique called full overtheclip. In short, the main methods for treating anastomotic fistulas are conservative treatment, conventional endoscopic clip closure of fistulas, secondary surgery, etc., but due to the strength of conventional endoscopic clip closure Small, limited gripping range, and the hardening or scar formation of the tissue around the anastomotic fistula resulted in a low success rate of closing the fistula. "Zheng Ren stood in front of the reader, like a steel gun.

"Second surgery, stent under interventional surgery is still the main method to solve the anastomotic fistula, but there are often risks such as high recurrence rate and high mortality rate."

"But this overtheclip I think can become the mainstream in the future. UU Reading is now facing the problem of insufficient surgical samples and no big data observation. Because of the lack of large-scale prospective clinical research, OTSC anastomosis clip treatment for anastomosis The efficacy of fistula needs to be confirmed by further studies. "

Professor Lu's ears were almost up.

Although he had previously dismissed the words that Professor Feng had brought with him, the meaning of what Zheng said was changed.

For thoracic surgery, if there is a way to deal with anastomotic fistula after esophageal cancer, it means that the risk of surgery is further reduced.

This is a great thing.

Although Boss Zheng also said that there is still a lack of large-scale prospective clinical studies, the efficacy of OTSC anastomosis clips for anastomotic fistula needs further research to confirm. But he was able to stand there and put forward endoscopic treatment confidently.

Zheng Ren said with his eyes, but stared at Quan Xiaocao.

"Xiao Cao, come and say what you think." Zheng Renwen said gently.