The stomach pain was treated as gastrointestinal disease for the 15th time before he was diagnosed with “acute mesenteric ischemic disease” “How did I know it was this disease at that time,” said Mr. Lu from Zhangjiagang, who had been to the surrounding hospitals 14 times before. “is the stomach pain, eating regurgitation, and vomiting, everywhere, said intestinal problems, on the treatment of intestines, do thrombolysis several times. I was 198 pounds, but then I lost 100 pounds! The 15th time, I went to this Nanjing General Hospital of Nanjing Military Region to see, only to know that there are also problems with blood vessels,” Mr. Lu turned his head from time to time to express his gratitude to Dr. Wu, “Thanks to Dr. Wu, it really saved my life.”
Wu sex Jiang told reporters that many people, including some doctors, do not understand this disease, because its symptoms and appendicitis, cholecystitis is very similar, “but it is extremely dangerous, many patients delayed treatment time, and eventually lead to intestinal necrosis, there are many patients in the surgical exploration or death before being diagnosed, because the diagnosis is unknown or delayed treatment, the mortality rate of this disease up to 50% – 80%.”
Mr. Wang from Anhui was misdiagnosed as appendicitis, “how to check can not be found, has been in pain has been in pain, I thought I was going to die in the past, only later learned that the intestine is blocked, blood and nutrition are not supplied, the small intestine followed by necrosis.”
The reporter learned that acute mesenteric ischemic disease is actually a collective term for a group of diseases, mainly refers to ischemic lesions of the superior mesenteric artery and superior mesenteric vein, the causes include arterial embolism, arterial and venous thrombosis and non-occlusive intestinal ischemia, which ultimately lead to localized intestinal ischemia and hypoxia and irreversible intestinal damage, thus endangering life. Sudden onset of severe abdominal pain, conventional examination can not be clear hypertension, hyperlipidemia, atrial fibrillation patients are prone to this disease the hospital Ding Weiwei, attending physician, told reporters that acute mesenteric ischemia is mainly divided into superior mesenteric artery thrombosis and superior mesenteric vein thrombosis, “arterial embolism is the main, accounting for 85% of the patient population.”
“Like some senior ones with hypertension, hyperlipidemia, atrial fibrillation and other heart diseases, these people are prone to acute mesenteric artery thrombosis,” Ding Weiwei said, “Although the acute mesenteric vein thrombosis is less, this group of people should also pay attention to: those with a history of deep vein thrombosis of the lower limbs and other diseases, those who receive splenic The group should also be aware of: those with a history of deep vein thrombosis in the lower extremities, those who have been fasting for a long time after surgical procedures such as spleen removal, those with protein C and S deficiency and elevated platelets, and women who have been taking oral contraceptives for a long time.”
“This part of the population, if sudden onset of severe abdominal pain, conventional examination can not be clear, and drug treatment can not be relieved, must consider the possibility of acute mesenteric ischemic disease, intestinal resistance to ischemia within 6 hours is the prime treatment time.” Wu sex Jiang told reporters.
Save the lives of patients, but also let them live a happy life reporter learned that because of the insidious onset of acute mesenteric venous thrombosis, there are no specific clinical symptoms and serological diagnostic markers, so the diagnosis is extremely easy to delay, improper treatment is very likely to cause extensive intestinal necrosis, requiring extensive resection of the small intestine. “This brings a problem – short bowel syndrome or even multi-organ dysfunction or failure, the patient’s quality of life is very low, life is saved, but live unhappy.” Wu Sex Jiang introduced to the reporter.
In 2006, academician Li Jieshou first proposed “damage control surgery” in China, which has a new concept for acute mesenteric ischemic disease surgery: partial small intestine necrosis – resection of necrotic small intestine -Preservation of unidentified small intestine – distal and proximal stoma, temporary abdominal closure – exploration after one week – closure. “Through such a process, we can save more intestinal tubes and improve the quality of life of patients.” Wu Sex Jiang told reporters that they formed a multidisciplinary treatment team, with the patient as the core, gathering the vascular surgery group, gastrointestinal surgery group, interventional imaging group, intensive care group and nutritional support group to participate.
Through this treatment model, Mr. Lu, who was “close to shock”, had only 20 cm of necrotic small intestine removed, and Mr. Wang, who had already recovered, had only 2 meters of small intestine removed, “The intestine of a normal person is 6 meters, and my intestine was already more than 6 meters, and after the removal, enough 4 meters were retained, which did not affect my life at all. It affects my life, and I’m better at everything now!”
After a series of scientific research verification and clinical practice application, this treatment model has achieved excellent clinical efficacy and has been unanimously recognized by experts at home and abroad. Wu said hopefully, “In the future, we will establish and improve the first ‘intestinal stroke’ green channel to better serve the patients.”
Yesterday morning, two patients came to the conference room of the Institute of General Surgery of Nanjing General Hospital of Nanjing Military Region, one had recovered and the other was still recovering from the treatment, both were said to have been carried in when they were admitted, “I was close to shock when I came, basically no signs of life.” Mr. Lu, 51, recalled the scene is still a bit scared, a side has been healed 46-year-old Mr. Wang said: “I’m no better, so painful sweat dripping from the hair, no strength.” So, what disease did they both have in the first place?