Swallowing jujube pits by mistake
Causes perforation of the esophagus
Fortunately, the doctors worked hard to save them
The 88-year-old Ding Grandma finally turned the corner
Recently, the Department of Gastroenterology of Jiangwan Hospital in Hongkou District received an elderly patient with esophageal perforation and gastrointestinal bleeding caused by accidental swallowing of jujube kernels.
Xu Ming, director of the Department of Gastroenterology of Jiangwan Hospital, understands the patient's condition
88-year-old Ding Grandma (pseudonym) has bad teeth and mouth, and often "swallows dates" when eating. At lunch on March 26, after "swallowing" several large red dates, Grandma suddenly felt discomfort in her throat, but she did not pay attention to it at that time. "I thought something might be stuck, and I swallowed saliva and thought it was okay, so I ate a few bites of rice and wanted to use rice to bring the thing stuck in my throat down. Grandma Ding described to reporters.
What Grandma didn't expect was that the discomfort in her throat not only did not ease, but became more and more serious, and even the pain was so painful that she couldn't even swallow her food, and was sent to Jiangwan Hospital in Hongkou District by her anxious children.
After examining Grandma Ding, the doctor found that a date kernel was stuck in the upper part of her esophagus, and the tip of the date kernel had punctured the esophagus and caused a perforation. "It is very dangerous for the jujube kernel to get stuck in the esophagus, because next to the esophagus is the large blood vessels, once the sharp ends of the jujube kernel pierce the esophageal wall and injure the blood vessels, the consequences will be unimaginable. Xu Ming, director of the Department of Gastroenterology of Jiangwan Hospital, said, "The patient has risk factors such as advanced age, and the operation is very difficult. ”
The gastroenterology team of Jiangwan Hospital is in operation
After careful preoperative preparation, Director Xu led the team to perform digestive endoscopic surgery for Grandma Ding, and found that the jujube kernel was embedded in the first stricture of the esophagus, and the tips on both sides had been deeply pierced into the tube wall.
The two ends of the jujube kernel removed after surgery are very sharp
According to Xu Ming, in daily life, it is not uncommon to accidentally swallow fish bones, bones, jujube cores and other foreign bodies, many people are accustomed to swallowing rice balls, leeks and other crude fiber food balls, trying to "push down" the foreign body, or using vinegar and other soil methods to solve the problem, but they do not know that these self-help methods are not only unscientific, but also may cause esophageal wall scratches or esophageal perforation, further lead to heavy bleeding, etc., and even life-threatening.
Xu Ming also reminded the public that they should chew carefully and swallow slowly when eating, and beware of accidentally ingesting foreign bodies, especially the elderly who have lost more teeth. If you have a foreign body in the esophagus, please go to the hospital immediately and perform endoscopic foreign body removal as soon as possible.
Reporter: Sun Jiejing
Image: Jiangwan Hospital
Source: Shanghai Hongkou