Chapter 2695 Postoperative Anastomotic Fistula

"Oh." Zheng Ren responded, but he didn't seem to be interested. It's just an anastomotic leak, so there's no need to go up to see it. If 912 cannot even solve this kind of problem, it will not be a top tertiary hospital in China.

Linge said, "Then I'll go up to Boss Zheng."

After speaking, he turned and left.

Walking on the road, Ringer's mind was full of images of Boss Zheng weaving red rope. This man is really interesting. Every time he had an operation, he seemed to be able to see the figure of him holding his shoulders and watching the film tirelessly over and over again.

Not to mention anything else, just this seriousness is admirable.

Moreover, he has won the Nobel Prize. It seems that he is not ready to rest yet, and he is full of energy and ready to work in the clinic for a lifetime.

I really don't understand him, but it's good, it's good for me. I have already arrived at the Department of Science and Education, seeing the position of vice president beckoning to me in a few years.

Thinking of this, Linge became happy. The chaotic emotions caused by the inexplicable wrong operation in my heart just now gradually faded away, and I went to the thoracic surgery department with brisk steps.

Linger felt that the consultation in the thoracic surgery department was nothing special. It was almost every day that the hospital below went to 912 for further treatment. I don’t know what the thoracic surgery department thought, but they even asked the medical department to come. Attend a consultation.

But he didn't want to put too much of his brain on it, he had to think more about Boss Zheng's needs, and how he could benefit himself.

The consultation time is three o'clock in the afternoon, a few minutes earlier, which is also Ringer's habit. For this consultation, he had already left the medical investigation committee for a while.

Entering the doctor's office, Linge saw both Feng Jianguo and Director Luo were there.

Um? How can there be so many people? Linger was a little surprised. When the staff of the medical department saw Linger coming in, they immediately made room for him.

"Director Luo, why are you here?" Linge asked in surprise.

"Hehe." Director Luo smiled and said, "I'm not here for consultation, just to watch the excitement."

Linge sat upright all of a sudden, and he felt a vague aura of something wrong. Thoracic surgery and gastroenterology seem to intersect only in the esophagus and cardia. Moreover, Feng Jianguo was also there, and beside him sat a female doctor with her head bowed.

It's Quan Xiaocao, Linge smiled, and he asked in a low voice, "There is no one in the department. Ye Chu went to deal with a medical dispute, and everyone was busy. I got the news and rushed back from the medical investigation committee." Yes, I don’t know the situation yet.”

"There is a patient with cancer in the lower esophagus, gastric fundus, and gastric body. After neoadjuvant chemotherapy for gastric cancer, he underwent radical total gastrectomy + esophagus-jejunum Roux-en-Y anastomosis. The patient had a fever all the time after the operation. Considering that there may be an anastomotic leak, isn’t that what happened.” Director Luo said.

If it was a little bit more reluctant, it would have something to do with the Department of Gastroenterology, but this is too much.

Ringer still didn't understand the question, but he didn't ask, and continued to listen.

"The chest department has been doing chest irrigation and drainage, thinking about the second-stage surgery. Later, that student of Lao Feng said that he could do endoscopic treatment. Xiao Fang asked me, so I came to see it out of curiosity."

Endoscopy? Director Wei's Department of Gastrointestinal Surgery has recently applied for some scientific research projects, including endoscopy. Now Ringer is in charge of science and education, so he knows about it.

But a scientific research project is just a project, and it will take a long time to implement it. Ringer doesn't believe that it can be used clinically in the blink of an eye.

"Director Luo, what do you think?"

"Director Lin, I just took a look at the patient's condition, and the condition is not good." Director Luo said, "CT showed left pleural effusion with abscess formation, and CT-guided left pleural puncture and drainage + left subdiaphragmatic Through puncture and drainage, about 10ml of light blue sputum-like fluid was drawn out from the left pleural abscess cavity, and about 20ml of yellow-green fluid was drawn out from the left subdiaphragm."

"Light blue? Yellow-green?" Ringer frowned.

It's too infected.

Color indicates a bacterial infection, yellow-green is more common and light blue is less common. What bacteria is light blue? After thinking about it for a long time, Ringer couldn't figure it out.

"I had a gastroscope done in the morning..." Director Luo said, "At first I thought it was too risky, so I refused. Later, Mr. Gu came to me, but he had no choice but to bite the bullet."

"Gastroscopy showed an esophagojejunostomy at 38 cm from the incisors, and a fistula was seen on the left anterior wall of the anastomosis, with a staple at the edge, about 0.8 cm in diameter."

"So what should we do in this situation?" Ringo asked.

"In the past, we could only strengthen nutrition, avoid infection as much as possible, and let the patient's esophageal fistula heal as soon as possible. As for whether it grows or not, it depends on one's luck. Esophageal cancer surgery, you know, the biggest problem Right on the fistula."

Ringo nodded.

"Now a stent can be placed to avoid gastric reflux. It's just that if the stent is used alone, it will also be a problem for growth. Professor Feng's student said that endoscopy can be used for treatment." Director Luo once again mentioned Quan Xiaocao.

It's a bit interesting. Gastrointestinal surgery is going to eat up some of the business scope that the gastroenterology department has taken away. Ringer made a judgment in his heart.

No wonder Director Luo took the initiative to check on the situation.

What these directors are thinking in their hearts, Ringer is as clear as a mirror. As long as the treatment is not delayed, he will definitely not care who is responsible for the specific business.

It has nothing to do with me, anyway, it's all the meat in the big pot of 912, so I can do whatever I want, as long as I don't make trouble for me.

But this time it involved Quan Xiaocao, Ringer knew that Quan Xiaocao had published several SCI articles in the past six months, all of which were credited by Su Yun, but Su Yun did not leave his name.

He smiled slightly, and decided to watch and talk less.

Fang Lin came in sweating. Seeing that Linge had arrived, he leaned over and greeted him seriously. You can't be joking with the medical staff, especially if there's something serious going on.

This patient belonged to Professor Lu, and Fang Lin was just caught working as a strong man. He hid in a corner after greeting him, waiting for the consultation to start.

The doctor under Professor Lu began to introduce the condition, which was no different from what Director Luo said, but in more detail.

"The patient's condition is like this." Professor Lu said, "After 10 days of closed chest drainage and catheter irrigation, the esophageal fistula has not improved at all. I think the next stent is better for the next treatment, and the rest can wait for the patient. Slowly heal at home."

"It's very difficult to get off the stent, why didn't the people from the intervention department come?" Ringer asked with a heartbeat.

"I asked Director Kong to come to the consultation. He said that there was an emergency operation over there, and Director Kong came on stage." Professor Lu said, "I discussed it with Mr. Gu. The best way is to take a certain risk to make a stent. By a month, the possibility of problems with stent surgery is too great."

He said, making a helpless expression.