Luwang, September 9, "Even high-risk surgery, we must also be bold and careful to do it, we cannot be afraid to take responsibility and take risks, and it is the foundation of our medical practice to relieve the pain of the people." Guo Guangan, deputy director of the Department of Gastroenterology of Peony People's Hospital in Heze City, said.
On August 30, the 87-year-old grandma Li was admitted to the Department of Neurology of Peony People's Hospital of Heze City due to acute cerebrovascular disease. After admission, the receiving physician arranged a chest CT examination for the elderly, and found that the upper esophagus of the elderly had a foreign body at the upper end of the esophagus, because the elderly suffered from "cerebral infarction, cerebral atrophy, hypertension, diabetes, coronary heart disease, lung infection" and other underlying diseases, with extremely poor physical fitness and unable to communicate with people normally.
After Guo Guangan received the treatment, he read the CT film and found that the foreign body under the esophagus entrance of the elderly was pierced into the esophageal wall, and the esophageal bone-like foreign body was considered in combination with the patient's medical history, and the possibility of chicken bone was large, usually endoscopic removal of foreign body was the best treatment plan, but this time it faced greater difficulties. The elderly suffer from a variety of underlying diseases, and have suffered from 3 cerebral infarctions in the past five years, lying in bed, extremely poor physique, difficulty in communicating with the elderly, can only endoscopy and treatment under intravenous general anesthesia, but the risk of anesthesia and surgery are greater, if endoscopy and foreign body removal treatment are not done, the elderly can not relieve symptoms and can not eat. "No matter how difficult and risky the operation is, we, as doctors, must stand in front of the patients, shoulder the responsibility, and do our best to relieve their pain." With this thought, Guo Guangan and Ren Ying, the director of the endoscopy room, patiently communicated with the family, and after obtaining consent, performed endoscopic surgery for the elderly.
With the full cooperation of anesthesiologists, Guo Guangan and Ren Ying performed endoscopic examination for the elderly, and during the operation, it was found that a sharp bone-like foreign body was pierced into the tube wall slightly below the esophageal entrance, the surrounding mucosa was torn and peeled, the tube wall was hyperemic and edema and the luminal stenosis was obvious. Cautious, cautious, cautious! It took a few minutes for Dr. Guo Guangan to successfully remove two sharp flakes about 1cm long from the esophagus for the old man, at which point everyone's hanging hearts were finally put down.
The Department of Gastroenterology of Heze Peony People's Hospital reminds the general public that in daily life, attention should be paid to the prevention of foreign bodies in the digestive tract, especially the elderly with cerebrovascular disease, the elderly with bad teeth or the elderly with movable dentures need to be extra cautious when eating fish, chicken, dates and other foods, if the pain of swallowing or retrosternal pain during eating often indicates that a foreign body pierces the esophageal wall, at this time to stop eating immediately, avoid taking measures by swallowing solid food, folk vinegar method is also not advisable, to see a doctor in time, undergo standardized examination and treatment. Heze Peony People's Hospital will escort the life, health and safety of the people. (Correspondent Kuni Dong)