The appendix is small
It hurts, but it's painful
Recently, the Department of Gastroenterology of Xi'an Chest Hospital successfully implemented endoscopic retrograde appendicitis treatment (ERAT) for a teenager suffering from appendicitis combined with appendiceal fecal stones.
10 days ago, 15-year-old Binbin (pseudonym) suddenly had abdominal pain and fever, and the pain did not stop, and accompanied by his grandfather, he went to the Department of Gastroenterology of Xi'an Chest Hospital for medical treatment. After admission, an abdominal ultrasound examination was performed in the department and found that Binbin had appendicitis combined with appendiceal fecalstones. After receiving the consultation, Dr. Zhang Rong from the Department of Gastroenterology asked about the medical history and physical examination in detail, and determined that Binbin's fever and abdominal pain symptoms were caused by appendicitis caused by appendicular stones.
Endoscopic retrograde appendicitis treatment (ERAT) does not open the knife and does not bleed, and the appendix cavity is observed under direct vision through colonoscopic intubation, so as to carry out accurate diagnosis and carry out operations such as appendiceal cavity irrigation, drainage, and stone removal, which can quickly reduce the pressure in the appendix cavity and subside inflammation, which not only treats appendicitis, but also preserves the intact appendix and its function.
During the operation, Dr. Zhang Rong successfully delivered the colonoscope to the inner opening of the appendix, and after repeated irrigation of the appendix cavity with normal saline, a large amount of pus and fecal stones were flushed out, and finally a stent was placed for drainage. The operation took about 30 minutes, and Bin Bin's abdominal pain was significantly relieved after the operation, and his body temperature returned to normal, and he returned to the ward.
In the follow-up treatment, the doctors in charge, Shen Rui and Liu Jingjing, learned that Binbin's parents were not around for a long time, only accompanied by his grandfather, and the medical staff of the department asked for warmth every day, and carefully guided the diet and rehabilitation exercises at the bedside.
Traditionally, the appendix is a "useless" organ of the human body, but with the development of medicine, people have gradually realized that the appendix is not "useless". The appendix has well-developed lymphoid tissue, which can transmit immunoactive lymphocytes, fight off foreign bacteria and other pathogens, and can also secrete digestive enzymes to maintain the balance of intestinal flora, which is an important part of the human immune system.
Lu Wang, director of the Department of Gastroenterology, introduced: The core point of endoscopic retrograde appendicitis treatment is to "preserve the appendix and treat inflammation", which has the advantages of small trauma, no scarring, fast and convenient operation. ERAT can avoid incision pain after surgery, the pain symptoms of postoperative patients are quickly relieved, patients can resume daily activities immediately, compared with open surgery or laparoscopic surgery, it can more effectively avoid the risk of complications such as incision or abdominal infection, intestinal adhesion obstruction, etc., and is suitable for a wider range of people, providing a better treatment plan for the elderly and frail, children and other patients who cannot tolerate surgical treatment.
Expert presentation
Zhang Rong is the deputy chief physician of the Department of Gastroenterology of Xi'an Chest Hospital, and holds a master's degree in medicine from the Air Force Military Medical University. He specializes in the diagnosis and treatment of common diseases of the digestive system, including the diagnosis and treatment of early cancer of the digestive tract, inflammatory bowel disease, functional gastrointestinal disease, HP infection and related gastric diseases, liver cirrhosis, pancreatitis, fatty liver, etc. Proficient in gastroscopy, colonoscopy, endoscopic ultrasound, capsule endoscopy and a variety of endoscopic treatment techniques.
Secretary and member of the Gastroenterology Professional Committee of the Early Cancer Screening Committee of Shaanxi Health Care Association;
Member of the Endoscopy Branch of Shaanxi Medical Doctor Association;
Member of the Digestive Endoscopy Branch of Shaanxi Medical Doctor Association;
Member of the Liver Disease Committee of Shaanxi Medical Doctor Association;
Member of the Early Cancer Group of the Tumor Endoscopy Professional Committee of Shaanxi Anti-Cancer Association.
Keep making progress, just to better serve patients!
----- Xi'an Chest Hospital