Grandma Wang of Jinan, Shandong Province, 85 years old this year, is plagued by diseases all year round, such as hypertension, diabetes, coronary heart disease, arrhythmia, and cardiac insufficiency. Fortunately, the children are filial piety, and the life is comfortable. Who knows that there is an unexpected storm in the day, in October this year, Grandma Wang suddenly appeared blood in the stool, the amount is relatively large, and accompanied by abdominal pain.
Because it is relatively close to the Shandong Provincial Maternal and Child Health Hospital, Grandma Wang's family found the director of gastroenterology, Gao Fengyu. After the evaluation of Director Gao Fengyu, the patient suddenly suffered from abdominal pain and blood in the stool, accompanied by cardiovascular disease, and considered the possibility of ischemic colitis, and suggested that Grandma Wang improve the colonoscopy.
However, before the colonoscopy, the anesthesiologist assessed Grandma Wang's physical condition, informed her that the intraoperative risk was greater, and said that it was impossible to perform intravenous anesthesia for Grandma Wang. This can make Grandma Wang anxious, thinking of the ordinary colonoscopy many years ago, full of stomach cramps, that taste is really uncomfortable.
"Try the water-injected colonoscope for you today, it doesn't hurt at all, it's very comfortable!" Director Gao Fengyu said with a smile. With the encouragement of Director Gao, in less than 10 minutes, the colonoscopy was done, and sure enough, it was is ischemic colitis! The strange thing is that from the beginning to the end, Grandma Wang did not feel any pain at all, but felt a warm and comfortable feeling in her stomach.
What is a water-injected colonoscopy?
There are many folds in the colon, and usually when you operate a colonoscopy, you need to pump the intestine while entering the mirror to open the intestine, which is convenient for entering the lens and observing. This is the traditional gas injection colonoscopy. During the examination, it is easy to inject too much air, prolong the intestine, increase the intestinal loop, resulting in difficulty in entering the examination; the subject has bloating and abdominal pain, especially when turning, such as sigmoid colon and spleen curvature, which will produce pulling pain, some people with strong pain, and even pull off the mirror to jump off the examination table; some patients cry in pain, crying, tears, which affect the examination effect, but also give the subject "once bitten by a snake, ten years afraid of the well rope" experience, often refuse the next review.
Water injection colonoscopy, that is, do not inflate, change to water injection, the pressure on the intestinal canal is reduced, reduced into loops, and the water flow flows to the descending colon under the action of gravity, the sigmoid colon is stretched by the pulling effect of the descending colon, reducing the discomfort caused by the traction of the mesentery, colonoscopy is easier to pass through the sigmoid colon ring and the left half of the colon; and in the process of water injection, warm water can be used to soothe the intestine, relieve cramps, abdominal pain, reduce discomfort, and secondly, ensure a clear field of vision, reduce the probability of disease leakage.
Who can do a hydrophoresis colonoscopy?
According to the "Expert Consensus on Early Diagnosis and Early Treatment of Colorectal Cancer in China, 2020" people who meet the following characteristics can undergo colonoscopic screening:
1. Age ≥ 40 years old, regardless of male or female;
2. Groups that smoke and drink for a long time;
3. Have a family history of colorectal polyps or colon cancer;
4. Groups undergoing gallbladder resection, history of chronic appendicitis or appendectomy;
5. Long-term lack of exercise, high-fat diet, high-salt diet;
6. Long-term constipation, diarrhea, changes in bowel habits, unexplained abdominal pain, blood in the stool, and emaciation.
7. Inflammatory bowel disease, familial polyposis, etc.
Finally, Director Gao Fengyu pointed out that as a simple and effective new method, the water injection colonoscopy method not only makes it easier for doctors to operate colonoscopy and the endoscopic image is clearer, thereby improving the detection rate of lesions, but more importantly, improving the comfort of patients, so it is worth vigorously promoting in the clinic and benefiting more patients. (Text/Zhou Jihai Editor/Xu Xiao)