Chapter 1842 Two esophagus grown
“What’s there to hesitate about? I’ll finish the next shelf.” Su Yun said after looking at the x – ray.
Zheng Ren nodded in agreent with Su Yun’s words.
In this case, if the patient was not implanted with an esophageal stent, the patient would soon die within one to two weeks due to multiple organ failures due to the inability to eat.
The reason why it was uncertain was that when one was on the verge of death, everyone could survive for a different amount of ti.
If an esophageal stent was placed, it would either be successful, allow one to eat, and not starve to death. The other option was to fail, and the heart would stop beating, and the patient would die on the operating table.
Of course, this was only the logic of diagnosis and treatnt. When it ca to life and death, it was a major matter. Very few people could calmly judge it according to logic.
If the patient died slowly without any treatnt, the family mbers might just accept it. This was an illness, this was life.
However, if the patient were to die on the operating table due to an unexpected situation during a risky surgery, the doctor would have to bear the responsibility. Departnt Director Miao ...
This was part of the dical risk.
“Old Liu, who’s there?” Zheng Ren asked.
“Boss Zheng, the patient’s son is a doctor in our hospital.” “I heard you’ve t him before,” Liu Zewei said.
“What?” Zheng Ren was stunned.
“There was a ti when we encountered a patient with aortic dissection on the plane. Do you rember?” Liu Zewei asked.
“I rember.” This was the only ti he had experienced this, so of course, Zheng Ren would not forget. Moreover, when they left Haicheng, cui Heming’s people had co to help Xie Yiren on her birthday.
“The person who gave you the blood pressure dicine and the blood pressure monitor on the plane is Xia Hua. He’s the patient’s son.”
“Oh, it’s that old man.” Zheng Ren had completely forgotten about Xia Hua. He only rembered that he had t an old man with late – Stage lung cancer when he had boarded the plane that day.
“The chances of lung cancer with esophageal cancer are not high.” Su Yun said,”but at a ti like this, we can try to perform an operation.” It’d be best if he’s a doctor from your family. We’re one of you, so you can make it clear. “
Liu Zewei smiled but didn’t say anything.
Zheng Ren felt that there was nothing good about the film. He caught a glimpse of Liu Zewei’s smile and was stunned for a mont. Then, he asked,””What does old Gao an? You’re looking for for surgery?”
“Yes.” Liu Zewei nodded.”Director Gao would like to invite you to perform a freelance surgery to remove an esophageal stent.”
The operation was not a major one, so Zheng Ren was not interested.
“Boss Zheng, director Gao wants to see if we can do double interventional therapy.” Liu Zewei asked.
Dual interventional surgery referred to the use of a lower stent inside the esophagus along with interventional embolism surgery.
While restoring the unobstructed esophagus, he also had a certain level of control over the esophageal tumor.
“I can.” Zheng Ren had already thought of this possibility, so he said without hesitation,””But old Gao can do it too, right?”
“One of them might involve the spinal blood supply artery, so director Gao did not dare to touch it.” “If he’s the one who’s going to do it, it’ll probably just be a simple esophageal stent,” Liu Zewei said.
After explaining the situation, Liu Zewei smiled.”Boss Zheng, I think old Gao wants you to go over and ask about his surgery while you’re there.”
Zheng Ren smiled faintly.
Old Gao also wanted to co to the capital at that ti, but he had sothing to do at ho and couldn’t let go. Go back? Should he visit old Departnt Director pan while he was at it?
When Zheng Ren thought of Departnt Director pan, he had an idea.
The surgery in front of him was not difficult, and there should not be any problems if he perford it carefully. If he was worried, he could have perford an interventional embolism surgery first, and after the tumor passed the stage of necrosis, congestion, and edema, he could then perform a second stage stent surgery.
To Zheng Ren, none of this was a problem.
“Okay, then you can tell old Gao.” “If he discussed with Xia Hua, he’ll be fine as long as he can bear the risk of the surgery,” Zheng Ren said.
“Alright,” he said. Liu Zewei said cleanly. Then, he touched his head with one hand and held his phone with the other, ready to call Gao Shaojie.
“Old Liu, I’m so tired just watching you Pat my head every day.” “By the way,” Su Yun said,”are you envious of your floor?”
“Ah?” Liu Zewei didn’t understand.
“The hair on the floor is more than the hair on the head.” Su Yun chuckled.
“...” Liu Zewei smiled bitterly.
This Brother Yun had a completely different style from boss Zheng. He would seize every opportunity to talk about his baldness, and he had long been used to it.
[They said to quickly write a love song ...]
Zheng Ren took a glance and saw that it was Departnt Director Kong.
“Chief.”
“I’m here, please wait a mont. “
With that, Zheng Ren hung up the phone.
“What is it?” Su Yun asked.
“He said he has a patient for to take a look.” Zheng Ren said.
Su Yun was curious. She followed Zheng Ren and the two of them arrived at Departnt Director Kong’s office.
He knocked on the door and went in. Departnt Director Kong was looking at an x – ray.
“Boss Zheng, co and take a look.” Departnt Director Kong said.
Zheng Ren took a glance at it and saw that it was an x – ray film of the digestive tract. There seed to be sothing wrong with it, so he imdiately went over.
The angiography results showed that the esophageal mucous mbrane was not smooth, the upper T4 vertebral body was horizontally localized narrow, the upper section expanded, and the lower section of the esophagus was filled and damaged in a line.
After swallowing the barium, the barium was divided into two parts in the middle and lower part of the esophagus and flowed to the bottom of the stomach. On the right side of the esophagus, there was a small tube – shaped film of honestly – colored honestly – colored film. It twisted and turned from the bottom to the top before it finally flowed into the small opening and entered the human esophagus.
“Eh? Double esophagus deformity?” Zheng Ren’s interest was piqued.
“Yes.” Departnt Director Kong said,”the books say that the probability is one in ten thousand, but I think the incidence of this disease is at least one in a million. I’ve only seen six cases in my life, and this is the seventh case.”
“Do you want to receive surgery?” Su Yun rubbed her hands together.
“The people from the cardiothoracic Departnt asked for a consultation, aning that they want to find soone to cover their backs.” “If it’s missed, we’ll have to go and get the stent done,” Departnt Director Kong said with a smile.
“The surgery isn’t difficult.” As Zheng Ren spoke, he picked up the chest CT scan at the side and looked at it.
The chest CT scan showed a slender tubular structure in the esophagus. The degree of strengthening was similar to the wall of the esophagus. The upper level of the T2 vertebral body shared the sa wall with the esophagus, and the lower part near the heart.
It was a very typical image of a double esophagus deformity.
“When is the surgery?” Zheng Ren asked.
“He said it’s tomorrow.” “Boss Zheng, if you have the ti, would you like to go up and take a look?” Departnt Director Kong said with a smile.
Zheng Ren was the most suitable person for this illness. He could perform both surgeries in the cardiothoracic Departnt and the interventional services Departnt. During the surgery, they would make judgnts on whether there was any risk of an esophageal suture and whether they needed to put down a stent during the surgery.
“Fang Lin, are you doing it?” Su Yun laughed.
“Professor Li’s patient. I wonder if Fang Lin will be attending.”
“Yes, I’ll call professor li. Tomorrow, the surgery will be perford in the hybrid operating room.” Zheng Ren replied,”it’ll probably be a little late. I saw Fugui ‘er and the rest finish the TIPS surgery.”
Zheng Ren was cautious. He wanted to see professor Rudolph Wagner finish the surgery, so director Kong naturally would not say anything.
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