Contrast-enhanced CT showed no bone tumor on bone tomography and normal gastric acid secretion on endoscopy and colonoscopy.

Although Sedum has targeted intestinal polyps, there are many polyp tumors that intestinal polyps suffer.

Among them, hyperplastic polyps are the most common, generally onset after the age of 40, and most of them are benign in the early stage, so they will not become cancerous in the early stage.

Secondly, tubular adenomas are also relatively common, but the growth period is slow, and the onset usually occurs after the age of 60, so it will not become cancerous in the early stage.

Then there are inflammatory polyps, also known as pseudopolyps, but after the previous barium X-ray examination, no symptoms of blood in the stool and loose stools were found, so they were ruled out.

Finally, there is villous adenoma, which has a wide base and is villous, although the tumor is relatively rare, its carcinogenesis rate is more than 10 times higher than that of tubular adenoma, and the patient's tumor diameter is greater than 2cm, which has developed into half of the cancer, so it is concluded that the rectal polyposoma suffered by the patient is a villous adenoma.

If the interventional department treats this, it must be effective.

At this time, a doctor wearing a 0.5mm lead suit walked in with a catheter and a guidewire.

He was followed closely by ten ravens.

He is commonly known as the "man in lead", that is, the person in the interventional department.

Although the importance of interventional medicine is undeniable in medicine, those who work in interventional medicine have to bear the risk of illness.

Because they work in the catheterization laboratory, they have to be exposed to long-term radiation, so that the reproductive system, hematopoietic system, digestive system and eye lens are damaged to a certain extent, and the probability of suffering from cataracts, high blood pressure, thyroid disease, and hypercholesterolemia is several times higher than that of doctors in other departments.

Therefore, every doctor in the interventional department will wear a lead suit and wear a variety of thermoluminescence dosimeters to prevent accidents, but even so, the doctors who have just arrived and are about to choose a department have expressed their awe of the interventional department and can only be discouraged.

In addition to interventional medicine, there are also orthopedics, radiology, radiotherapy, and nuclear medicine, which are all radiation-related departments. The people in these departments are like the hard-working gardeners, they are like burning candles, trying to burn themselves and illuminate the world.

Horse Glacier.

This lead-clad man is also an ace doctor in the interventional department, although the position is very low, just a small resident, but whether it is vascular or non-vascular, he has done it, if he wanted to be promoted, he would have written a paper a long time ago, but he didn't care about these, just did the work at hand with peace of mind.

Soon, Jing Ye's eyes were focused on Ma Binghe's body.

I saw Ma Binghe move the PCI guidewire and the contrast catheter along the valley road and move slowly.

The guidewire needs to be synchronized with the catheter, so with a little attention, it can be easily passed through the blood vessels.

There are also green guidewires and loach guidewires next to them in case they are needed, while at the same time, a tiny amount of contrast agent has been injected to locate it.

The balloon is then inserted to dilate a narrower part of the tract. The stent was then inserted and re-dilated, and the dilation was good.

The process went smoothly, and Jingye saw everything in his eyes and said that he was very satisfied.

The next step is to inject the embolic agent along the catheter into the tumor blood vessels and tumor blood supply arteries, which can directly block the tumor blood supply, seal the tumor vascular bed, and inhibit the tumor growth.

But unexpectedly, only halfway through the process, Ma Binghe stopped.

He pushed forward slowly, but there was a noticeable obstruction, as if the intestinal tract in front was blocked, so that the catheter could not walk.

Under the monitoring of CT, contrast machine and ultrasound, it can be clearly found that the rectum is only compressed by the tumor, but it can still be excreted normally, so now the catheter is blocked, what is the reason?

After observing for a long time, the imaging equipment did not see any abnormalities in the intestines.

For this reason, Ma Binghe tried to pull the catheter out, and it was impossible to rampage the catheter in his body, so there would be no good fruit to eat.

Jing Ye sensed that something was wrong and immediately asked, "Doctor Ma, what's wrong?"

"It doesn't work. Ma Binghe shook his head.

Sedum once again fell into thinking, if the biliary tract is blocked, then PTCD and ERCP, that is, percutaneous liver puncture biliary catheter drainage and retrograde cholangiopancreatography.

But what should I do if my rectum is blocked?

Originally, the function of the digestive tract stent was to eliminate intestinal obstruction, which is the most ideal choice, but now the stent does not reflect the corresponding effect.

Although intestinal catheter intervention is not unpopular in the interventional department, the use of digestive tract stents can also cause intestinal obstruction, which is also the first case in history.

"If intestinal intervention is not possible, we can try needle biopsy, radiofrequency ablation or radioactive seed implantation, and it is not impossible. ”

Out of helplessness, Ma Binghe could only give up halfway and choose other methods, his tone was weak and he seemed very unwilling.

After all, when he first came to the emergency department to offer ugliness to everyone, it was unfavorable to go out of school, which is equivalent to encountering the Waterloo of his life, but there are many big bulls watching him outside, he Ma Binghe has been operated on for so long, when has he suffered such a failure? As soon as he thought of this, Ma Binghe was angry.

However, the reality is so cruel.

In the final analysis, any injustice in the world is caused by the lack of capacity of the parties.

So Jingye would not follow Ma Binghe's advice, he resolutely refused: "Absolutely not, it's too late." ”

"What, it's too late?" Ma Binghe was a little incredulous, his face was angry, "Didn't you call me here just to perform interventional surgery on patients?

"I'm sorry, I don't want that. ”

Jing Ye calmly explained: "After all, I didn't find that the patient had symptoms of intestinal obstruction before, so I came to you, but now the patient's condition is different, it has been upgraded to advanced tumor and intestinal obstruction, it is very likely that in the next step, intestinal obstruction will develop into strangulated intestinal obstruction or closed loop intestinal obstruction, which will then cause intestinal perforation necrosis, peritonitis, systemic infection, metabolic acidosis...... Obviously, it is no longer possible for the patient to undergo radical surgery, so I am really sorry. ”

After Ma Binghe listened to the explanation, he looked even more helpless, so he could only shake his head and leave dejectedly.

Judging from the results of the current dire situation, there are only two options in front of Jing Ye: either stay and observe, or undergo palliative surgery.

Staying for observation is nothing more than making the patient wait for death.

Palliative surgery, which is equivalent to conservative treatment, prolongs the patient's life, and the result is still death.

Obviously, it is better to choose palliative surgery between the two, after all, the above requirement is only to allow the patient to live a few more days.

But Sedum wanted to make a third choice.

That is