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¡¾1342¡¿Arrival for consultation

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    Wei Guoyuan put his mouth next to his ear and spoke: "It's a female doctor."

    There was only one female doctor at the scene, which was very conspicuous.  It was not difficult for Shao Jialiang to recognize Xie Wanying, and a flash of surprise flashed in his eyes. It was not that she was a female doctor, but that she was really young.  There are many excellent female doctors in internal medicine.  There are many like them Xuanwu.

    "Didn't I tell you? I am an intern and have not graduated." Wei Guoyuan raised his eyebrows at him, "And I am studying surgery."

    This girl wants to be a surgeon?  Shao Jialiang was confused.  It's not that girls can't be surgeons, but why they should be students of surgeons? It's because they have unique skills in endoscopic techniques in gastroenterology.

    "It can only be that he was in a hurry. He didn't listen to everything Wei Guoyuan said. He just thought that anyone could be invited to help solve the problem. Even a medical student was invited to join in the trouble.

    "Thank you for coming here to help." Shao Jialiang sincerely expressed his gratitude to several doctors from the National Association.

    "You're welcome." Yu Xuexian replied, looking at Wei Guoyuan, he only knew that this man was much more shameless than Shao Jialiang.

    Wei Guoyuan seemed not to catch his gaze, smiled, and said to the group of people: "The patient is in the digestive endoscopy room."

    On the way, Shao Jialiang introduced his patient to his colleagues: "He is malnourished and his wounds heal much slower than normal people. Now he is getting more nutrition injections."

    "Intravenous nutrition? If enteral nutrition is not available, are you not planning to do jejunostomy?" As a physician, Yu Xuexian is equally familiar with all surgical methods of gastroenterology.  Because even patients of his internal medicine department must consider asking a surgeon to assist in creating a fistula in such a situation.

    Jejunostomy involves inserting a tube into the patient¡¯s jejunum so that nutritional solutions dripped from outside the body can directly enter the patient¡¯s intestines.  Generally, it is used as a temporary measure and must be removed after the patient returns to normal gastrointestinal feeding.

    Yu Xuexian said this, clarifying the basic principles of clinical treatment of patients who cannot eat normally through the digestive system.  Even if the doctor wants to make an incision in the patient, he or she must pour nutrient solution into the patient's intestines, and try to avoid intravenous nutrition, that is, total parenteral nutrition.  The reason is simple. The risks of total intravenous nutrition are too high and can cause many complications. Hyperglycemia, cholecystitis, blood clots, bacterial infections, etc. can be fatal.

    Only as a last resort will doctors consider long-term intravenous nutrition for patients who are truly unable to undergo enteral nutrition.  For example, Chen Chengran, a patient with Crohn's disease who was admitted today, is completely unable to eat. His intestines are inflamed and enteral nutrition is not possible. He can only rely on total parenteral nutrition and intravenous nutrient solution.

    After receiving questions from the consulting doctor, Shao Jialiang explained: "This patient is like this. Four months ago, he was diagnosed with adenocarcinoma of the lower esophageal cardia and stomach bottom. The tumor was relatively large and he underwent total gastrectomy with esophagojejunostomy.  The digestive tract was reconstructed and surrounding lymph nodes were cleared. An intestinal nutrition tube must be reserved for him during the operation so that the nutritional solution can directly reach his jejunum through nasogastric feeding for enteral nutrition. He will be given enteral nutrition during the early postoperative period when he cannot eat.  support."

    Let¡¯s talk about enteral nutrition again. Enteral nutrition is divided into two types according to the feeding route: oral and transcatheter.  Orally, that is, the patient can replenish the nutritional solution by mouth.  Transcatheter, most commonly a nasogastric tube, is a tube that goes from the nose to the stomach.  (Remember the website address: www.hlnovel.com
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