I can see the status bar

Chapter 624 Physique Problems

The outpatient hours officially ended after two hours.Sun Lien did not leave the gastroenterology consulting room in a hurry.He really wanted to see what this "black esophagus" was.

Due to insufficient manpower in the second-level peacekeeping hospital, the only gastroscope in the hospital was placed in the consulting room of the Department of Gastroenterology.The doctors could not start examining Peter until the consulting room was cleared.There were also some surprises during the inspection.Year-round alcoholic Peter did not respond well to the narcotics in his mouth.As soon as the probe entered the throat, it severely triggered Peter's retching and even vomiting.After repeated attempts to no avail, finally the gastroenterology doctor gave Peter general anesthesia with the help of an anesthesiologist.Then the gastroscopy started smoothly.

The black probe gradually penetrated into Peter's throat, and what appeared in front of the doctors was a scene that could be called "bizarre".

Peter's upper esophagus is normal.But when the probe entered the middle and lower part of the esophagus, the appearance was much weirder—the inner wall of the middle and lower part of the esophagus was covered with diffuse marks of white and black.Some black marks don't look too deep, they appear unclear on the mucous membrane, and they are a little greenish.

The description Sun Lien could find that best matched the image he saw was mold.Peter's esophagus looked like a moldy PVC pipe, and it was the type where the first half was perfectly normal and the second half suddenly started to grow moldy.On Peter's esophageal mucosa, the boundary between the normal area and the whitish and blackened area is very obvious.Instead, the boundary between whitish and blackened areas is unclear.

"What is this...?" The well-informed gastroenterologist was also a little confused when he saw this scene.He turned the probe to look around, and then said to himself, "Isn't this moldy?"

"Do a biopsy?" The anesthesiologist folded his hands on his chest, also watching the excitement. "Anyway, I've already had a gastroscope, so let's take a sample."

The doctor in the Department of Gastroenterology was kind, and when he was about to start the operation, he shook his hand slightly and touched the probe.

The image on the probe flickered, and when the image stopped again, Sun Lien saw a large piece of the white mucous membrane on the wall of the esophagus peeling off.Under the peeled off mucous membrane, there were several pieces of bright red tissue—blood was slowly oozing out of it.

"The esophageal mucosa is not so fragile, is it?" Sun Lien asked, he had never seen a gastroscope operation.However, if the esophageal mucous membrane falls off like this, the patient can completely say goodbye to solid food.

"No...you won't have any reaction if you touch it at ordinary times." The gastroenterology doctor frowned, then manipulated the probe to look down, "The cardia mucosa is normal, and the lesion is limited to the middle and lower esophagus. He operated the sampling forceps, and clamped a piece of tissue in the lower and middle parts of Peter's esophagus, "I will send the sample to the laboratory now."

Sun Li'en rushed to the laboratory together with the gastroenterology doctor. In the gastroenterology consultation room, only the anesthetist who was depressed because he couldn't follow the excitement, and Peter who was gradually waking up.As for the Pakistani captain...he said enthusiastically that he would stay at the door of the consulting room, waiting for Peter to fully wake up.

"What's the level of this patient? Two more people have to send the sample?" The doctors in the laboratory were obviously overwhelmed by the battle.After he took the sample, he immediately started to conduct a biopsy, "You guys wait outside, I estimate that I can finish it in half an hour."

Sun Lien, who was waiting for the results at the door, chatted happily with the doctor of gastroenterology.The name of Sun Li'en, a "little diagnostic genius", has not been so loud that even peacekeeping hospitals as far away as Politanvia can know it.During the daily "case sharing" process between the two doctors, Sun Lien was constantly amazed by the gastroenterologist in front of him.After the two chatted for a while, the other party nicknamed Sun Lien vividly, "You are the Conan of the medical world!"

Student Sun Kenan spread his hands, expressing his helplessness, "I didn't find these things myself... People are sitting at home, things come to them."

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The inspection report was released under the watchful eyes of two doctors.The results of the pathological examination in the laboratory were "considering erosion, inflammatory exudation, and a large number of acute and chronic inflammatory cell infiltration under the microscope".The result of this test was matched with the result of the previous gastroscopy, and the diagnosis was naturally ready to come out - acute esophageal necrosis (black esophagus).

"Go to the hospital." The gastroenterology doctor scratched his head, but there was no helplessness in his tone—instead, he was more excited.In fact, it is easy to understand that the probability of occurrence of this esophageal disease is frighteningly low.Only one case has been reported in China in 17 years.Including domestic reports, a total of seven cases have been reported worldwide.Now that the eighth case happened in front of him, any doctor would be excited - based on this alone, he has at least three articles to publish.

The pathogenesis of acute esophageal necrosis remains unclear, and most of the seven reported patients had underlying diseases.Of these, gastroesophageal reflux disease, alcoholism, and diabetic ketoacidosis are the most common.Alcoholic hepatitis and cirrhotic hepatic encephalopathy have also been reported.And Peter's situation is quite special. He is the only patient who has been drinking for a long time but does not have alcoholic hepatitis or cirrhosis.

Yes, Peter miraculously does not suffer from cirrhosis or alcoholic hepatitis despite his severe alcohol dependence.Sun Lien and the gastroenterologist couldn't think of any possible explanation for this, and in the end everyone could only attribute it to the physical problems of the Russians.And acute esophageal necrosis is not a particularly serious lesion.Only one patient with cirrhotic hepatic encephalopathy in at least seven reports died, and the cause of death was also caused by liver failure rather than esophageal necrosis.

"Give him antibiotics to fight the infection, and use omeprazole to suppress the acid to control the damage. Metoclopramide is used to stop vomiting, and just correct the electrolyte balance." After discussing with Sun Lien, the doctor of Gastroenterology finally finalized the treatment plan . "It is mainly to control the damage and promote the body's natural perfusion and recanalization."

The internal blood supply structure of the esophagus is complex. Although doctors cannot find the blood vessels that cause acute esophageal necrosis, the body's own compensatory ability can allow the blood supply in this area to recover naturally.All they had to do was protect the esophagus, contain further damage, and wait.

Sun Li'en looked at the test results, and then made a decision in his heart - before returning to China, he did not intend to directly participate in the treatment anymore.

I don't know what medicine can be used to cure this inexplicable rare disease constitution.

　The third update is complete~ if you count the make-up update in the early morning. . .It's actually the fourth watch (smelly shameless)

　　
　
(End of this chapter)