Patient: adenocarcinoma of the cervix, surgery plus chemotherapy and radiotherapy. Three months after the end of treatment (9/09) symptoms of intestinal obstruction developed. Frequent vomiting, intestinal spasms, obvious accumulation of fluid in the abdomen, stools were present but relatively small. Wasting is obvious, body quality becomes worse. Herbal medicine treatment, did not see obvious results. Now the hospital fasting rehydration fluid. She has been hospitalized for 10 days, with gastrointestinal decompression and nutritional support, and has gas and bowel movements, but still has abdominal distension and pain after the gastric tube is removed. What should be the treatment and is surgery risky? Can I be transferred to your hospital? Laboratory and examination results: intestinal obstruction, malnutrition, anemia. Last hospital visited: A hospital in Jinan General Surgery Department of Jinan Military Region General Hospital Zhang Xiaoqiao General Surgery Department of Jinan Military Region General Hospital Zhang Xiaoqiao: How is the staging of cervical cancer? Your case may be radiotherapy-induced radiation enteropathy. Whether to operate needs careful consideration, and you can come to the outpatient clinic to have a look if your condition permits Patient: Hello, Director Zhang. At that time, I was in the middle stage of cervical adenocarcinoma, and I had a hysterectomy and ovary removal, pelvic lymphatic cleansing, and the postoperative pathology showed that there was a small amount of lymphatic metastasis. Before I was hospitalized this time, I also consulted some doctors, who said that this kind of radiation-induced intestinal obstruction should not be considered for surgery as much as possible, and the risk is too big. Today in the province of traditional Chinese medicine to do CT, tomorrow let the family with CT to your outpatient consultation can? Jinan Military General Hospital General Surgery Department Zhang Xiaoqiao: I’m very sorry, tomorrow there is a major surgery, temporary decision not to go to outpatient clinic, please come back on another day, conveniently, please call 13553175153 Patient: Zhang Director Hello, thank you for your reply and generously leave your contact information. Today I had a CT, I uploaded a few photos, which were taken directly on the computer screen, as well as the diagnostic conclusion of the CT. Because of the word limit, I omitted the words in the conclusion, “The liver is regular in shape, and curved watery ascites is seen at the outer edge of the liver. The morphology of the gallbladder, pancreas, liver, and both kidneys showed no obvious abnormalities.” Words. Could you please see if my case is serious and should I consider conservative or surgical treatment? Thank you again! Zhang Xiaoqiao, Department of General Surgery, Jinan General Hospital, Jinan Military Region: The obstruction is relatively serious, and if conservative treatment fails to alleviate it or it gradually worsens, especially if there are signs of intestinal necrosis, then surgical treatment is necessary. However, as mentioned before, the decision to operate or not should indeed be made carefully Zhang Xiaoqiao, General Surgery Department, General Hospital of Jinan Military Region: ready to go to Nanjing to find Director Li Yousheng? I wish you a speedy recovery! Patient: Director Zhang, thank you for your warm reply and best wishes! The hospital’s doctor recommended the South General Hospital to us, and we went there to find Director Li, who is also Academician Li’s student and your senior, right? He is also a student of Academician Lai, your senior brother, right? I’m from Shanda University, and we are also alumni. Although we have not met, but your enthusiasm and responsibility makes me very touched, I hope you are all right! Zhang Xiaoqiao, General Surgery Department, Jinan General Hospital, Jinan Military Region: Yes, Director Li is a senior brother, and the best among his brothers and sisters. Patient: Thank you, Director Zhang, we have stayed in the South General, first live in the emergency room, when the general surgery has a ward and then transferred. I wish you all the best! General Surgery Department of Jinan Military General Hospital Zhang Xiaoqiao: Good! I wish you all the best! Patient: Hello Director Zhang, we have returned from treatment in Nanjing. Because of conservative treatment is ineffective, director Li gave surgery, with PEG tube and enteral nutrition solution back. However, after trying to eat at home for the past few days with no discomfort at all, I plan to remove the PEG tube. Can Jinan Military Hospital do PEG surgery? Zhang Xiaoqiao, Department of General Surgery, Jinan Military General Hospital: Yes Patient: Director Zhang, can you do it on weekends, just go to you directly, right? Zhang Xiaoqiao, General Surgery Department, Jinan Military General Hospital: It may not be possible this weekend, and it is estimated that gastroscopy is needed to help, so it is necessary to contact the gastroscopy room in advance Zhang Xiaoqiao, General Surgery Department, Jinan Military General Hospital: The photo of the CT film is not very clear, but in combination with the history of the disease and the dilatation of the right side of the ureter, the first thing to be considered is that the tumor metastasis has led to the obstruction of the situation. In this case, it is best to carry out anti-tumor treatment and treatment of obstruction at the same time.