Chapter 1841 Two Esophagus Grew (Leader Shyn307 Plus 5)

"There's no need to hesitate, just get on with it." Su Yun said after glancing at the film.

Zheng Ren nodded and agreed with Su Yun's statement.

In this case, if there is no lower esophageal stent, the patient will soon die due to multiple organ failure due to inability to eat, and die within 1-2 weeks.

The reason for uncertainty is that when dying, each person can survive for a different length of time.

After the esophageal stent is removed, it must be successful and you can eat, and you will not be starved to death. Either it fails, the heart stops beating, and they simply die on the operating table.

Of course, this is just the logic of diagnosis and treatment. When it comes to life and death, it is a big matter, and it is seldom judged calmly and logically.

The patient died slowly without any treatment, and the family members may recognize it. This is all disease, this is life.

But if it is a risky operation and dies on the operating table due to unexpected circumstances, the doctor will be held accountable. Director Miao...

This is part of the medical risk.

"Old Liu, who is it?" Zheng Ren asked afterward.

"Boss Zheng, the patient's son is a doctor of this hospital." Liu Zewei said, "It is said that you have seen it before."

"Huh?" Zheng Ren was taken aback.

"Once, on the plane, I met a patient with aortic dissection, do you remember?" Liu Zewei asked.

"Remember." This kind of experience was just this once, of course Zheng Ren would never forget it. And when they left Haicheng, on Xie Yiren's birthday, Cui Heming's people came to help.

"The person who gave you antihypertensive medicine and blood pressure monitor on the plane, named Xia Hua, is the patient's son."

"Oh, it's that old man." Zheng Ren didn't remember Xia Hua at all, he only remembered that when he boarded the plane that day, he met an old man with terminal lung cancer.

"Lung cancer complicated by esophageal cancer, the probability is not high." Su Yun said: "However, it's time like this, you can try to have an operation. It would be best if you have a doctor in your own family. I understand clearly."

Liu Zewei smiled without saying a word.

Zheng Ren felt that there was nothing interesting in the film. Seeing Liu Zewei's smile, he was taken aback for a moment, and then asked, "What does Lao Gao mean? Ask me for surgery?"

"Yes." Liu Zewei nodded, "Old Gao would like to ask you to throw a knife and remove the esophageal stent."

This operation is not major, Zheng Ren has no interest.

"Boss Zheng, Lao Gao wants to see if we can do double-intervention therapy." Liu Zewei asked.

Double interventional therapy refers to the lower stent in the esophageal cavity, plus interventional embolization surgery.

While restoring the patency of the esophagus, esophageal tumors are also under certain control.

"It can be done." Zheng Ren had thought of this possibility a long time ago, and he said without hesitation, "But Lao Gao can do it too."

"There is a section that may involve the supplying artery of the spinal cord, and Lao Gao is afraid to move it." Liu Zewei said: "If he does it, it is probably just a simple esophageal stent."

After talking about the situation, Liu Zewei smiled, "Boss Zheng, I guess Lao Gao wants you to go there, and check on his operation by the way."

Zheng Ren smiled lightly.

Lao Gao also wanted to come to the imperial capital at that time, but he still couldn't let go because of family matters. go back for a trip? By the way, look at Director Pan?

Thinking of Director Pan, Zheng Ren's heart moved.

The operation in front of me is not difficult, if it is done carefully, there should be no problem. If you are worried, you can do interventional embolization first, and then do the second-stage stent surgery after the tumor has passed the period of necrosis, hyperemia and edema.

To Zheng Ren, these were all nothing.

"Well, then you can talk to Lao Gao." Zheng Ren said, "If he discusses with Xia Hua on the other side, he can bear the risk of surgery."

"Okay." Liu Zewei said cleanly, then touched his head with one hand and held the phone with the other, ready to call Gao Shaojie.

"Old Liu, I feel exhausted seeing you touching your head every day." Su Yun said, "By the way, do you really envy your floor?"

"Ah?" Liu Zewei didn't understand.

"There are more hairs on the floor than on the head." Su Yun chuckled.

"..." Liu Zewei smiled wryly.

This brother Yun has a completely different style from Boss Zheng, and he has long been used to talking about his baldness when he seizes the opportunity.

【They said write a love song soon...】

Zheng Ren took a look. It was Director Kong's call.

"director."

"I'm here, just wait a moment."

After speaking, Zheng Ren hung up the phone.

"What's the matter?" Su Yun asked.

"It is said that there is a patient who asked me to take a look." Zheng Ren said.

Curious, Su Yun followed Zheng Ren, and the two came to Director Kong's office.

Knock on the door and go in. Director Kong is watching a film.

"Boss Zheng, take a look." Director Kong said.

Zheng Ren glanced at it and saw that it was a radiography of the upper gastrointestinal tract. There seemed to be something wrong with it, so he immediately moved over to it.

The angiographic film shows: the esophageal mucosa is not smooth, the upper segment is narrowed at the level of the T4 vertebral body, the upper segment is dilated, and the lower segment of the esophagus shows a line-like filling defect.

After barium swallowing, the barium is divided into two parts in the middle and lower part of the esophagus and flows into the fundus of the stomach; there is a small tubular barium shadow on the right side of the esophagus, which twists and turns from bottom to top and finally flows into the small opening and enters the esophagus.

"Huh? Double esophagus deformity?" Zheng Ren suddenly became interested.

"Well." Director Kong said: "The book says it's a one in ten thousand chance, but I think the incidence rate is at least one in a million. I've only seen 6 cases in my life, and this is the seventh case."

"Do you want to have surgery?" Su Yun was gearing up.

"The people outside the chest came to me for consultation, meaning to find someone who knows everything." Director Kong said with a smile: "In case something leaks, we have to get the brace off."

"The operation is not difficult." Zheng Ren said while picking up the chest CT film placed beside him to look at it.

Chest CT showed a thin tubular structure shadow in the esophagus, the degree of enhancement was similar to the esophageal wall, the upper level shared the wall with the esophagus at the level of the T2 vertebral body, and the lower level shared the wall with the esophagus near the cardia.

Very typical image of double esophagus.

"When will the surgery be performed?" Zheng Ren asked.

"It's tomorrow." Director Kong said with a smile: "Boss Zheng, if you have time, go up and take a look?"

This kind of disease, Zheng Ren is the most suitable to see. Both thoracic surgery and interventional surgery are available. During the operation, it is judged whether there is a risk of esophageal fistula after esophageal repair, and whether a stent is required during the operation.

"What is Fang Lin doing?" Su Yun asked with a smile.

"Professor Li's patient, I don't know if Fang Lin can get it."

"Well, Professor Li and I called. Tomorrow, this operation is scheduled to be performed in the hybrid operating room." Zheng Ren said, "The time is estimated to be a little later. I am watching Fu Guier and they have completed all the TIPS operations."

Zheng Ren was cautious. If he wanted to watch Professor Rudolf Wagner complete the operation, Director Kong would naturally not say anything.