“Double stent” to solve esophageal cancer patients eating problems

2022-06-16 0 By

Changjiang Daily Wuhan client on March 14 (correspondent Jiang Hongying Chen Shu) On March 12, after the respiratory and critical care medicine department of the city three hospital Gao Baoan expert team treatment, relying on the pipeline to maintain life of Mr. Li finally out of the pipeline feeding, can eat independently.Two months ago, Mr. Li, who lives in Enshi, suffered from worsening esophageal cancer. The tumor invaded the adjacent bronchi, forming a esophagotracheal fistula.When he eats, his mouth food through the esophagus, easy to leak part of the bronchi, lung, repeatedly cause severe pneumonia.To avoid severe pneumonia, li was fitted with a jejunal feeding tube, through which the mush is delivered directly to the jejunum instead of passing through the esophagus and stomach.Although this solved part of the problem, due to poor nutrition, Mr. Li became thinner and thinner and could not walk, so he was in a wheelchair. Due to poor nutrition, he had lung edema, so he could not sleep supine. He could only sit in a wheelchair day and night, relying on nutrition needles to inject protein, which made his family very sad.Not long ago, under the introduction of a friend, Mr. Li went to the city three hospital treatment.According to Mr. Li’s condition, the director of respiratory and critical care medicine Gao Baoan suggested that the esophagus be put into a stent, so as to solve the airway stenosis caused by esophageal cancer, and at the same time fill the “hole” between the esophagus and trachea.During the operation, Gao Bao ‘an found that The cause of Li’s breathing difficulties in addition to “lung water”, or esophageal cancer metastasis in the airway caused by stenosis.So he decided to have a two-step operation: a stent inserted into the trachea to address breathing difficulties, and a stent inserted into the esophagus to expand the esophagus.Double stents solve esophageal tracheal fistula and plug it at the same time, which is more reliable.The operation went well.The second day after the operation, Mr. Li underwent esophageal iodine water angiography examination, esophageal fistula was completely blocked.Li, who had not eaten through his mouth for two months, finally drank a bowl of meaty spareribs soup.On the third day after the operation, Mr. Li was discharged from hospital.Gao Bao ‘an introduced, many patients with esophageal cancer will encounter esophageal stenosis, esophageal fistula and other problems, resulting in eating, can not eat, affect nutrition absorption.Through the practice of stent implantation, can help solve the “eating” problem, nutrition to keep up, quality of life improved, can continue to live against cancer.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com