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¡¾1343¡¿It is not easy for doctors to find lesions

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    Clinically, it is simply called a gastric tube. The gastric tube is relatively short and is relatively simple to insert.  The passage from the nose to the esophagus to the stomach is relatively smooth and not tortuous, and can usually be blindly inserted by a nurse.

    Other catheters are more complicated. Nasoduodenal tubes, nasojejunal tubes, and jejunostomy tubes all need to be inserted into the intestines.  The human intestines are full of twists and turns, making blind insertion very difficult.  It is usually reserved by the surgeon during surgery, or can be intubated under visual conditions through a gastrointestinal endoscope.

    For patients like these after gastrointestinal resection, leaving this kind of tube during the operation can be said to be based on the surgeon's routine risk considerations. The possibility of anastomotic leak in the postoperative patient should be taken into account, which is called just in case.

    Patients with anastomotic fistula cannot eat orally normally. What they eat will overflow through the fistula and cause infection in the body. They must fast at the front of the fistula.  With the existence of this nutritional tube that reaches below the fistula opening, the patient can continue to be given enteral nutritional support. This is called a life tube for such patients.  In the same way, this patient now developed an anastomotic fistula after surgery, and the fistula failed to grow well, resulting in the nasojejunal tube never being removed.  At the same time, there is definitely no need for a jejunostomy.

    As mentioned earlier, the anastomotic fistula, and now it is said that the anastomotic fistula is closely related to the surgery, yes, so it deliberately adds three words in front of the fistula.  After all, fistulas may not only be caused by surgical operations, but may also be caused by the patient's own diseases and trauma, such as anal fistulas, intestinal fistulas, etc., which have nothing to do with surgical operations and cannot be called anastomotic fistulas.

    The anastomosis, as the name suggests, is the junction where the healthy tissue and organs at the front and back are reconnected after surgical removal of the diseased parts of the organ.  The surgical method is called an anastomosis, and for this reason the junction is called an anastomosis.

    It is necessary to understand these terms accurately in order to understand where anastomotic fistulas are usually hidden.  To treat anastomotic fistula, the doctor must first find the fistula.  The problem is that the fistula is not easy to find in the first place.  It stands to reason that anastomotic fistula is related to surgery. The surgeon knows best where the anastomosis is, and he can find the fistula there.  The surgeon can do this, but it will require a new surgical operation, either laparotomy or laparoscopy, both of which are more harmful to the body.  Patients may not necessarily be able to tolerate prolonged lying on the operating table again for such a surgical procedure.  This patient's physical condition happened to be relatively poor.  The surgeon needs to think carefully about the choice of operating on him again, so surgery is not the first choice to solve the fistula to prevent the patient from being unable to get off the operating table.

    Without surgery, the fistula can be found in the patient¡¯s digestive tract using digestive endoscopy.  Unlike surgery, digestive endoscopy can open the intestines and find fistulas. It can only rely on a limited field of view and limited auxiliary instruments to find and seal fistulas in the digestive tract.  Therefore, a master of internal medicine may be reflected in how to use a digestive endoscope.

    I have long heard from Senior Sister Jiang that Senior Brother Yu is a technical expert in digestive scopes.  Xie Wanying and two classmates continued to listen and study the conversation between senior brother Yu and Dr. Shao.

    "Have you tried the titanium clip, but it doesn't work?" Yu Xuexian asked.

    "Yes, yes." Dr. Shao nodded.

    "Then it must be that the right target is not caught." After hearing this, Yu Xuexian pointed out the problem to the point, that is, a large fistula was not found.  (Remember the website address: www.hlnovel.com
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