In recent years, with the improvement of people's living standards and the acceleration of the pace of life, many people have been plagued by digestive diseases. Autumn is the season of high incidence of gastrointestinal bleeding, and the number of patients undergoing gastrointestinal endoscopy has surged. The reporter interviewed Ma Fengzhen from the Department of Gastroenterology of the Affiliated Hospital of Binhai Hospital.
The endoscope "shot" to find out the cause of vomiting blood, and the patient recovered and was discharged from the hospital after ligation to stop bleeding
Recently, a patient went to the Department of Gastroenterology of the Affiliated Hospital of Binhai Medical University for several days with symptoms of vomiting blood, and after a night of drug treatment, the next day, Ma Fengzhen still found black stool around the patient's anus, "I realized at that time that it might be an active bleeding." ”
Ma Fengzhen said that considering that the patient has active bleeding, endoscopic treatment should be carried out immediately. Because the patient is weak, there is definitely a risk of hemostasis during gastroscopy. "But if you don't do it for him, the risk may be greater for the patient. After fully communicating with the patient's family, the patient's family understood our suggestion very well, and I immediately performed an emergency gastroscopy on him. “
The emergency gastroscopy process is truly thrilling.
"Our gastroscope entered the patient's esophageal lumen and it was completely difficult to see, so we continuously flushed the esophageal lumen with water, entered the farthest part, and entered the duodenum and found that there was no obvious bleeding location. We withdrew the scope and observed that although there were many blood clots in the entire gastric cavity, we could not see the bleeding site. Ma Fengzhen said that when he retreated to the esophageal lumen, he found that there was a fountain-like hemorrhage, and the varicose veins around the esophagus were obvious, which means that the vascular pressure of the esophagus is very large. The team of the Department of Gastroenterology of Binhai Medical Affiliated Hospital made a decision and performed banding treatment on the patient.
Ma Fengzhen introduced that this kind of banding treatment is to band the upstream of the bleeding to relieve its pressure and stop the bleeding. But in the process, the bleeding did not stop completely, and we found that although the bleeding was a little smaller, there was still bleeding. "At this time, our team put a titanium clip on the patient, clamped the bleeding hole, and finally successfully stopped the bleeding."
After the bleeding stopped, the patient was given medication and was quickly discharged from the hospital.
The high incidence of gastrointestinal bleeding in autumn turned out to be because of these five points
With the sudden drop in temperature in Binzhou City, autumn is also the season of high incidence of gastrointestinal bleeding, and for the vast majority of the population, more than 95% of the causes of bleeding are these five. Ma Fengzhen introduced, "The example I mentioned just now is gastrointestinal bleeding caused by the rupture of esophageal and gastric varices. "Its root cause is portal hypertension, especially variceal bleeding caused by liver cirrhosis and liver cancer.
The first cause of gastrointestinal bleeding is gastrointestinal bleeding caused by gastric and duodenal ulcers, also known as peptic ulcer bleeding. Because autumn is the season with a high incidence of canker disease, it is said to be the first place.
What is the main treatment for bleeding caused by ulcer disease?
"It is still the first choice to do endoscopic judgment, if there is active bleeding, we will do timely treatment under endoscopy." Ma Fengzhen introduced that the cause of peptic ulcer should be clarified while doing gastroscopy, if it is ulcer disease caused by Helicobacter pylori infection, it is necessary to do Helicobacter pylori eradication, if it is ulcer disease caused by drugs, stop taking drugs that stimulate the gastrointestinal tract, or add mucosal protective agents. "In short, not only the symptoms but also the root causes."
The third cause is acute gastric mucosal erosion and hemorrhage. Drinking high levels of alcohol, taking drugs that irritate the stomach mucosa, and bleeding from stressful states such as car accidents and trauma. Ma Fengzhen introduced: "Acute gastric mucosal erosion and bleeding caused by various reasons can be treated by gastroscopy to determine the cause and do drug treatment. “
The fourth cause is bleeding from stomach cancer.
Everyone knows that gastric cancer is a malignant tumor, how to diagnose it? "It is also done by doing gastroscopy and conducting pathological tests to confirm the diagnosis. Endoscopic treatment followed by surgery is the best treatment strategy. Ma Fengzhen said.
The last cause of gastrointestinal bleeding is bleeding from a tear in the esophageal-cardia mucosa.
What is the reason for this? Ma Fengzhen said: "It is because of severe vomiting, especially repeated vomiting, and the increased pressure of the cardia mucosa causes tearing and bleeding. The best diagnostic measure for this bleeding is also to do a gastroscopy to identify the cause and endoscopic treatment under the gastroscopy. The most commonly used is a titanium clip to seal the tear to achieve the purpose of hemostasis. “
I hope that the majority of friends will develop a good lifestyle, eat reasonably, work and rest on time, maintain the health of the digestive system, and actively pay attention to the prevention of digestive diseases. In the above cases, you must seek medical attention in time.
We will continue to optimize the process and strive for the ultimate diagnosis and treatment
With the continuous improvement of people's awareness of gastrointestinal health, the number of patients in the Department of Gastroenterology remains high, and the medical team of the Department of Gastroenterology has also done some related work to improve the medical experience of patients.
First of all, in terms of making appointments for diagnosis and treatment, you can make an appointment with the help of the Internet Hospital of Binhai Medical Affiliated Hospital, or you can make an appointment by phone, and patients who are not familiar with the operation of electronic products can also make an appointment on the spot. Ma Fengzhen said, "If there are too many patients, we also have a reserve team of experts to deal with the peak of visits at any time. ”
Ma Fengzhen said, "Patients can rest assured that even during peak periods, the Department of Gastroenterology of Binhai Medical Affiliated Hospital will still meet the needs of patients." “
In terms of diagnosis and treatment, the Department of Gastroenterology does the most is gastrointestinal endoscopy, and many friends come to the Department of Gastroenterology to do gastrointestinal endoscopy. In response to patients' fear of gastrointestinal endoscopy and confusion about the process, the Department of Gastroenterology of Binhai Medical Affiliated Hospital has also taken corresponding measures to improve the patient's experience.
Ma Fengzhen introduced that after the patient gets the gastrointestinal endoscopy form, the medical staff at the front desk of the gastrointestinal endoscopy will explain to the patient some precautions before the gastrointestinal endoscopy, such as fasting before gastroscopy, stopping certain drugs and how to prepare the intestines. "We also give the patient a clear sheet so that the patient can see how far the intestines are ready and so on."
Upon entering the endoscopy room, the patient can see the different colored chairs in the hallway. Different patients will sit in different chairs, and the soft and comfortable chair can eliminate the patient's fear to a certain extent.
Ma Fengzhen told reporters that in terms of diagnosis and treatment, the Department of Gastroenterology has always adhered to such a concept: ultimate diagnosis, ultimate treatment.
"The so-called ultimate diagnosis is to start with the diagnosis of difficult diseases, and we will gather the entire gastroenterology team to brainstorm to clarify the symptoms. If other sister departments are involved, we will do our best to conduct a multidisciplinary consultation until the root cause is identified. Ma Fengzhen said that on the basis of the ultimate diagnosis, we continue to work towards the ultimate treatment, hoping that patients can get the best treatment when they come to the Department of Gastroenterology of Binhai Medical Affiliated Hospital.
In terms of digestive endoscopy, we have mastered some of the most advanced diagnosis and treatment techniques commonly used in China, and the Department of Gastroenterology also has other diagnosis and treatment techniques in addition to gastrointestinal endoscopy, such as fecal bacteria transplantation and biofeedback therapy for constipation patients.
The Department of Gastroenterology of Binhai Medical Affiliated Hospital attaches great importance to the follow-up of patients who have recovered and been discharged, and the Department of Gastroenterology of Binhai Medical Affiliated Hospital has established different follow-up groups, which can not only help patients with different diseases recover, but also improve patient satisfaction.
"I have established a Helicobacter pylori treatment group, which mainly provides timely guidance to patients who are experiencing difficulties or confusion at home. We in the Department of Gastroenterology have always been committed to public welfare publicity, hoping to nip diseases in the bud, preferably without getting sick. Ma Fengzhen said.
So how do you do that?
"The most important thing is to develop a good lifestyle, so that the occurrence of diseases can be reduced at the root." Ma Fengzhen believes it is very important for people to know about this.
So far, the medical team of the Department of Gastroenterology of Binhai Medical Affiliated Hospital has done more than 20 public welfare live broadcasts through the WeChat video account of Binhai Medical Affiliated Hospital, and the cumulative number of viewers has far exceeded more than 200,000, and many patients have benefited from it.
Ma Fengzhen said: "In the future, we will continue to work hard to optimize the process and the ultimate diagnosis and treatment, so as to improve the medical experience of patients." ”
Correspondent: Zhang Yingying