Start From Emergency Doctor

Chapter 52

After the abdominal ultrasound, Zhou Yuan pushed Yang Wei to prepare for a gastroscope while waiting for the results.

Yang Wei was already in pain, but now he shivered with fear: “Doctor, isn’t that tube X going into my throat hurting to death?”

“Relax, painless gastroscope, I will give you anesthesia later.”

After a while, He Jianyi arrived.

“Teacher.” Zhou Yuan shouted.

He Jianyi was invited by Zhou Yuan.

Although gastroscopy is not a high-level technique, the patient’s condition is more complicated, with gastric ulcers and bleeding, and once it is not well grasped, there is a risk of perforation.

It’s better to leave this kind of thing to experienced He Jianyi.

He Jianyi was a little surprised: “Why, major surgery can be done, but this kind of small examination will alarm me?”

Zhou Yuan slapped haha.

Although there are several master-level major surgeries, Zhou Yuan is not omnipotent, and other aspects need to be gradually improved.

“Drink it.” Zhou Yuan handed Yang Wei the anesthetic.

Yang Wei was taken aback: “Isn’t it the injection?”

However, Yang Wei quickly poured it down, “Hey, my stomach doesn’t seem to hurt so much anymore!”

“Put on this tooth pad and lie down on the left side.” Zhou Yuan said.

Yang Wei lay down quickly and opened his mouth happily.

“Don’t be nervous, if you are nervous, your throat will lock up and you won’t be able to insert it.” He Jianyi reminded him of the gastroscope.

Yang Wei’s mood improved after his stomach pain eased: “I understand! But it’s the first time for me, you have to be lighter!”

He Jian shook his hand and said, “You should stop talking.”

He Jianyi slowly passed the gastroscope through the middle of the dental pads and penetrated into Yang Wei’s esophagus. The latter opened his mouth wide and was so scared that he did not dare to breathe.

“The gastroscope enters the esophagus and does not affect the trachea. Inhale through the nose and exhale through the mouth.” Zhou Yuan reminded him beside him.

Ten minutes later, the gastroscopy was completed.

He Jianyi and Zhou Yuan went outside the ward alone.

“Your guess?” He Jian joined together.(Read more @ wuxiax.com)

“Stomach cancer.”

He Jian nodded: “It is most likely to be gastric cancer, and it may also be advanced gastric cancer.”

Zhou Yuan was taken aback and glanced at the inside of the ward: “How is it possible! The patient is only thirty-seven years old!”

“Look at the results of abdominal ultrasound again.” He Jian sighed.

After waiting for a while, Zhang Ling took the ultrasound results of her abdomen.

He Jianyi handed it to Zhou Yuan: “Say it.”

Zhou Yuan nodded, took a few glances, and analyzed: “First, a raised tumor appeared in the stomach cavity. The tumor protruded into the cavity, showing unevenness. The tumor has infiltrated the mucosal layer, submucosal layer and muscular layer, and serous layer. There is a small violation.”

“Ulcers appeared in the stomach at the same time. Obvious ulcers protruded into the cavity and distributed in a volcanic crater. Diffuse hypoechoic sound appeared at the base, and the boundary between it and the surrounding normal tissues was not clear.”

“What about the stomach wall?” He Jian asked with a grim expression.

“The stomach wall is diffusely and irregularly thickened, the sense of hierarchy disappears, and the five-layer structure can only distinguish two layers. The stomach cavity is narrow and cannot be filled!”

The pathological basis of gastric cancer is that it starts from the mucosa and gradually invades the submucosa, muscle layer and serosal layer, causing the stomach wall to thicken to varying degrees and the structure of each layer disappears accordingly.

Now that the five-layer structure has become two-layered, it can basically be determined that it is gastric cancer, and it is mid-to-advanced gastric cancer.

“What about the interface between the tumor and the adjacent organs?” He Jianyi can only pray now that it is not advanced gastric cancer.

“The sound image of the organ and the interface is very fuzzy, the boundary is unclear, and there is some adhesion between the two adjacent interfaces!”

Zhou Yuan raised his head with a serious expression: “Teacher, there have been violations of nearby organs. The only good news is that most of the gastric cancer is located in the stomach, and there is no large-scale metastasis to nearby organs. This is the late stage. Stomach cancer.”

He Jianyi sighed, “Who will go in and announce?”

“Teacher, let’s go together.” Zhou Yuan said.

Thirty-seven years old, the best age in life, suddenly knowing that he has advanced gastric cancer, it is a heavy blow to him and his family.

Moreover, three families were hit.

Pushing the door in, Yang Wei was chatting with his wife.

“My wife, listen to me, I don’t have time to eat! I recently wrote a novel, and I must update it!”

Zhou Yuan was taken aback, and said, “Writer?”

Yang Wei smiled modestly: “Haha, yeah, yeah!”

“Does it still hurt?” Zhou Yuan asked.

“It still hurts, it hurts very much! But it’s okay. I always do this. Doctor, please give me some painkillers! I’ll go back after I eat!”

Zhou Yuan was silent for a few seconds before beckoning to Yang Wei’s wife.

He Jianyi and Zhou Yuan walked out of the ward again, leaving Yang Wei alone.

“Doctor, what’s wrong!”

Yang Wei’s wife is very nervous.

Generally speaking, ordinary pediatric doctors will speak out in front of the patient.

Such a situation that specifically avoids the patient may be very pessimistic.

“Your husband has stomach cancer, and he will soon develop into advanced stomach cancer.” He Jian announced with an apologetic expression on his face.

Yang Wei’s wife was startled and turned to look into the ward.

After his wife left, Yang Wei in the ward no longer pretended to be relaxed, grinning in pain, almost out of breath.

But when his wife looked over, Yang Wei laughed immediately and whistled as if it didn’t matter.

“Doctor, save my husband! He is only thirty-seven years old, and we still have a pair of children to raise. I can’t live without him!” Yang Wei’s wife broke down and cried on the spot.

——

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