[Good people and good deeds during the Spring Festival No. 8] The gastroenterology department of our hospital successfully helped patients to remove foreign bodies in the digestive tract
[The Eighth Good Deeds During the Spring Festival]The Gastroenterology Department of our hospital successfully helped the patient to remove the foreign body in the digestive tractRecently, the Gastroenterology Department of our hospital successfully helped the patient to take out the swallowed toothpick , relieve the pain of patients and avoid the occurrence of serious complications such as gastrointestinal perforation and gastrointestinal bleeding. Wang, male, 42 years old, came to our hospital for treatment because of abdominal pain for 5 days and fever for 1 days. A variety of auxiliary examinations to rule out appendicitis, pancreatitis, cholecystitis, intestinal obstruction, perforation of the digestive tract and other diseases. The abdominal CT showed that the fat layer around the duodenum was blurred. During gastroscopic examination in the department of gastroenterology, one can be seen at the distal end of the duodenum. A toothpick with a length of about 6.5cm pierced the intestinal wall, and there was light yellow purulent fluid flowing out of the piercing site. Because the duodenal cavity is narrow, the toothpick is long, penetrates deeply into the intestinal wall, and the opposite side is also sharp, the removal process is prone to serious complications such as contralateral intestinal injury, bleeding or even perforation, and the difficulty and risk of removal very large.
Director Li Tong and his assistants install a transparent cap at the endoscope apex and apply foreign body forceps to adjust After the long axis of the toothpick was in the same direction as the mirror body, the foreign body was pulled into the transparent cap and successfully removed without any damage to the patient’s bowel, stomach and esophagus. After 7 days of active anti-infection treatment, he recovered and was discharged from the hospital. The doctor in charge Wang Huayuan repeatedly asked about the medical history. A friend who ate with him recalled that the patient used a toothpick to eat fruit after drinking alcohol 5 days ago. The disease should be caused by accidentally swallowing a toothpick.
Take out the toothpick
Removal of foreign bodies from the digestive tract under the microscope belongs to the third-level operation of digestive endoscopy, especially the removal of sharp foreign bodies after incarceration has a high risk and requires high manual skills of the operator. , less patient pain and other advantages, has been widely accepted and used in clinical practice. In recent years, the gastroenterology team of our hospital, under the leadership of Director Li Tong, has been strongly supported and With the cooperation, endoscopic foreign body removal has become more and more perfect and mature, and foreign bodies such as date pits, dentures, utility knives, chicken bones, fish bones, coins, nuts, steel wires, etc. have been successfully removed in time for nearly 100 patients. The youngest is 3 years old and the oldest is more than 90 years old. Many patients are free from the suffering of hospital transfer and surgical operations such as laparotomy and thoracotomy, which significantly reduces the pain and economic burden of patients, and is well received by patients. Through past cases, I would like to remind everyone:Drink in moderation, don’t play and play, and novelty should be moderate , love life, healthy you, me and him. If a foreign body is swallowed and cannot be taken out by itself, it is necessary to seek medical attention in time and treat it as soon as possible to avoid delaying the disease and causing more serious complications.
