Recently, the Department of Gastrointestinal Surgery of Shandong Provincial Third Hospital, together with the emergency department, operating room, anesthesiology department, intensive care medicine department and other departments, successfully rescued a nearly 100-year-old patient with superior mesenteric artery embolism through accurate diagnosis, superb surgical skills and reasonable postoperative management. This is also a typical case of great significance in the development of the discipline.
A month ago, 99-year-old Grandma Zhang felt persistent abdominal pain and did not have exhaust or defecation for 5 days. The family quickly sent the old man to the Shandong Provincial Third Hospital for consultation. In the emergency department, the doctor found that the elderly had a very dangerous superior mesenteric artery embolism through a meticulous preliminary examination, so they were urgently transferred to gastrointestinal surgery.
Dong Shuxiao, director of gastrointestinal surgery, did not dare to be sloppy after receiving patients, while arranging for the elderly to be hospitalized, he urgently contacted the operating room and the anesthesia department to prepare for surgery, and at the same time seriously discussed with the department team to formulate a detailed surgical plan. Dong Shuxiao introduced that superior mesenteric artery embolism is clinically relatively rare, once it occurs, the condition is extremely dangerous, the case fatality rate is extremely high, the elderly are so old, there are many underlying diseases, and the difficulty of surgery can be imagined.
Everything was ready, and the medical staff sent Grandma Zhang to the operating room as quickly as possible. During the operation, with the close cooperation of the operating room and the anesthesiology department, Director Dong Shuxiao opened the patient's abdomen and successfully removed the thrombus by cutting the blocked superior mesenteric artery through precise positioning. At the same time, it was found that part of the patient's ileum had been necrotic, and Dong Shuxiao completely removed the necrotic small intestine, and the operation went smoothly. After the operation, the elderly were sent to the intensive care department for follow-up observation and treatment. After 3 days, the elderly returned safely from the intensive care department to the general ward.
In view of the physical condition of the elderly, Director Dong Shuxiao formulated a thorough postoperative rehabilitation plan, including nutrition, exercise, monitoring and other aspects, effectively avoiding the occurrence of postoperative complications. After a month of meticulous care, Grandma Zhang, who touched the hearts of all medical staff in gastrointestinal surgery, was finally successfully discharged from the hospital. "Thank you to the Provincial Third Hospital, to Director Dong and all the medical staff, for letting me pick up another life!" Before being discharged from the hospital, Grandma Zhang said excitedly.
Dong Shuxiao, director of the Department of Gastrointestinal Surgery of Shandong Provincial Third Hospital, introduced that superior mesenteric artery embolism refers to a disease caused by the sudden blockage of impurities in the blood circulation of the body on the mesenteric artery, resulting in sudden insufficiency of small intestinal blood. Patients often have nausea, vomiting, diarrhea, etc., and even gastrointestinal bleeding symptoms. The incidence of the disease is low, the diagnosis is extremely difficult, the misdiagnosis rate is very high, and it is extremely dangerous, which can easily cause widespread intestinal necrosis, causing shock, multi-organ failure, and even death. Once the diagnosis is confirmed, it should be treated immediately, seizing the best treatment period.
Expert introduction
Dong Shuxiao
Director of gastrointestinal surgery and constipation surgery of Shandong Provincial Third Hospital (Shandong Gastroenterology Hospital), chief physician, master tutor, visiting scholar of Tokyo Medical University, Japan.
Specialty: Specialized in the diagnosis and surgical treatment of gastrointestinal tumors, the diagnosis and surgical treatment of refractory constipation, the surgical treatment of gastroesophageal reflux disease and obesity.
Part-time: Member of colorectal cancer professional committee of Chinese Anti-Cancer Association, member of gastric cancer professional committee, standing director of Shandong Gerontology and Geriatrics Association, chairman of Gastrointestinal Motility Professional Committee of Shandong Gerontology and Geriatrics Association, member of Minimally Invasive Medicine Branch of Shandong Medical Association, member of General Surgery Society of Shandong Medical Doctor Association, member of colorectal group of General Surgery Society of Shandong Medical Association, etc.
Visits: Monday morning