Chapter 1497: Cat-like colon

"What do you think Director Luo is doing?" Director Du asked with a smile.
"Busy to do the laparoscopic? Is it out of the clinic?" Zheng Ren did not take the heart and answered.
"I am studying your first few days of ESD surgery." Director Du said, "We don't do it, and we don't know where to do it, but I heard people say that Director Luo has organized his doctor to perform three times."
The surgery for the old squad leader Fan Tianshui?
Zheng Ren smiled, the surgery was really good, at least he was satisfied.
Systematic review, 100% completion, is undoubtedly a perfect level of surgery.
Director Luo’s eyes are really bright, and the surgery is finally combined with microscopic techniques to complete the removal of precancerous tumors. This is an area that ESD surgery has not touched yet.
Under normal circumstances, Fan Tianshui's old squad leader must open a section of the intestines to solve the problem.
However, microscopic techniques, minimally invasive resection, and the recovery of patients are particularly fast, and the nightingale is indeed worthy of attention.
Especially live surgery, I don't know how many doctors who have had a mirror have noticed it.
The two went to the mirror room and changed clothes.
In the corridor of the luminal room, quietly sitting some patients waiting for treatment. Director Du led Zheng Ren and went straight to the final classroom.
"Here, the difficulty of microsurgery." Director Luo with glasses, very serious before the screen.
The door was open, Zheng Ren saw the figure of Director Luo, heard his voice, a smile on his lips.
For the old director in his fifties, safe retirement is something that many people must consider first.
Therefore, access to new technologies is basically a younger group of professors. But looking at the situation before him, Director Luo is still alive and very high.
In the fifties, he is exposed to microsurgery, and he is not likely to be able to handle the knife himself.
It is an important issue that the eyes do not spend flowers and shake hands.
It is highly probable that Director Luo can't do it himself, but he should also promote this technology.
It seems that after the operation of gastrointestinal surgery, there will be a little less.
Zheng Rengang was going in, and a nurse ran over.
"Director Luo, 8 hands have a small situation, you take a look at the palm." The nurse said at the door.
Director Luo nodded and saw Zheng Ren.
"Zheng boss, how come you?" Director Luo was a little surprised, but then saw Director Du, and immediately knew the reason.
"It is for the endoscopic jejunal nutrition tube thing." Director Luo came out and asked.
"Yeah." Zheng Ren went to the 8th hand with Director Luo and said, "There are not many patients with severe vomiting during pregnancy. There are not many cases of jejunal nutrition tube until delivery, and you can only try it."

Is it necessary?
Director Luo still felt that the patient was given enteral nutrition for a few months, fearing problems.
"The patient said that he refused to induce labor, and the vomiting was severe. Even if it was a good day, I was worried that the child would have problems." Zheng Rendao.
"Yes." Director Luo simply agreed to come down.
Into 8 hands, the patient in the basic anesthesia, a doctor holding a colonoscope in his hand, is looking up at the screen.
On the screen, it should have been a red piece, which is the color of the colonic intima.
Even if the patient's enema is not complete, there is still a small amount of stool residue, but it will not be much.
However, the colonic intima presented on the front of the screen is red and white, and looks like the pattern of watermelon rind.
"Director, you have a look at it, what is the situation?" said the doctor who was doing the colonoscopy.
Director Luo is not very sure, he has indulged.
"It's a cat-like colon." Zheng Ren whispered.
"Well? Is there a name? I have seen a few cases, and later followed up, there is nothing special after surgery." Director Luo is very candid.
Zheng Ren is just an impression. Because the image is too typical, he blurted out.
After that, he also began to silence and went to the system library to read through various materials.
"Zheng boss, what is the cat-like colon?" Director Luo asked.
"It was very late, and it is still only a statement. It has not been confirmed by the clinical." Zheng Ren smiled and said: "McDonnell first made a similar description in 2007. Later found in 9754 colonoscopy 32 A similar case."
"..." Director Luo was speechless and looked at Zheng Ren.
"This data was published by the doctor of the Johns Hopkins laparoscopic room the previous year. The probability of the overall cat-like colon appearing should be so large." Zheng Rendao: "I look at the image, it should be a problem."
His eyes are staring at the screen and he has already seen God.
After all, it is not a doctor in the endoscope room. I can't do a gastroscope in the endoscope room every day, so I just saw similar data. This is the first time I have observed the cat-like colon.
The image of the colon in front of the patient is particularly typical, the colonic mucosa is red, and there is a linear tearing white around.
Looking at the watermelon rind, Zheng Ren feels that it is more appropriate to change the watermelon skin shape than the cat-like colon.
But it doesn't matter.
What is the name is a condition.
Of course, it is too arbitrary to say that the condition of the cat-like colon is now a clinical diagnosis. EbookFREE.me~Zheng Boss? Director Luo whispered.
"Hey..." Zheng Ren is observing the colon, and is awakened by Director Luo. Some are embarrassed. "It's okay, the cat grabs the colon and the colon is in the cecum and ascending colon. It is more common in collagenous colitis and diversion. Patients with colitis."
"Is it a disease? How to treat it?" Director Luo asked.
"It should not be caused by disease. Most studies suggest that excessive gas injection during colonoscopy causes colonic mucosal barotrauma as its main pathogenesis.
Of course, some studies have suggested that the lesions in the intestine itself cause the occurrence of this sign.

Zheng Ren explained while admiring the microscopic features of the cat-like colon.
"In most cases, there will be nothing. In the reported cases, only 1 case of delayed perforation occurred. Because the number is too small, it can be considered as perforation caused by other complications, rather than excessive inflation in the colon. Caused."
"Director, below..." The doctor who was doing the operation hesitated.
"Continue to do it, hurry up." Director Luo: "The image is left and sent to my mailbox."
After that, Director Luo glanced at Zheng Ren and asked: "Can you avoid it?"
"Should not be able." Zheng Ren is also thinking about this problem, "the inflating of the colon is based on a high probability, regular gas supply, and some patients have problems with the colon wall. It is impossible to predict in advance. In short, be careful.

"Yeah, always be careful." Director Luo murmured, "Let's be clinical, be careful, don't care."
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