You are “intestinal stroke” ah!
Mr. Lu, 51, recently walked on the doorstep of a ghost, at first it was a vague pain in the stomach, and then developed into a situation where he vomited everything he ate, and his weight was falling fast. After 14 trips to hospitals around the world, his illness was finally diagnosed in Nanjing General Hospital of Nanjing Military Region – “intestinal stroke”. Like Mr. Lu, 46-year-old Mr. Wang from Anhui was also tormented by abdominal pain and was almost operated as appendicitis, and the final diagnosis was also “intestinal stroke”.
Mr. Wang from Anhui is 46 years old and is a cab driver. In July last year, he suddenly had abdominal pain for no apparent reason and went to the hospital for a checkup, where the doctor said it could be appendicitis. Before deciding to operate, Mr. Wang’s “appendicitis” was getting stronger and stronger, and every moment was painful and sweaty. When he was on the operating table, a veteran specialist temporarily shouted “stop” because Mr. Wang’s symptoms were not really like appendicitis. The doctor suggested that the family bring Mr. Wang to Nanjing for a detailed investigation as soon as possible. In Nanjing General Hospital of Nanjing Military Region, Mr. Wang was diagnosed with mesenteric vascular embolism, also known as “intestinal stroke”.
Mr. Lu, 51, was also a patient of “intestinal stroke”. When he was sent to Nanjing General Hospital of Nanjing Military Region, Mr. Lu was almost in a state of shock and weighed less than 100 pounds, while before April, Mr. Lu was a strong man of 198 pounds. In April this year, Mr. Lu had vague pain in his stomach and subsequently visited Suzhou and Shanghai. Although he was diagnosed with intestinal thrombosis, the hospital only carried out thrombolytic treatment, neglecting the rehabilitation of intestinal function. Not long after the thrombolytic treatment, the problem of reflux after eating appeared, and finally he could not eat anything, his weight plummeted, and he gradually reached a state of exhaustion.
The acute arterial “intestinal stroke” has a golden time of only 6 hours, and academician Li Jieshou of Nanjing General Hospital of Nanjing Military Region introduced that “intestinal stroke” and brain stroke have similar pathogenesis, “brain stroke is responsible for supplying blood to the brain The arteries responsible for supplying blood to the brain are blocked, while intestinal strokes are responsible for supplying blood to the intestines of the mesenteric arteries are blocked.” Acute arterial blockage has an optimal resuscitation time of only six hours, while venous blockage is less critical, but is often misdiagnosed and delayed until intestinal necrosis can only be treated with an intestinal resection. This surgery often requires the removal of 3/4 of the intestine, and the remaining intestine is too short to absorb enough, which can easily cause “short bowel syndrome”. In the past, 80% of the patients who had intestinal transplantation had suffered from “intestinal stroke” before.
The main reason for this is that the patient’s condition is not so bad. For patients who do not have intestinal necrosis, only minimally invasive thrombolytic therapy is carried out. The presence of intestinal necrosis, then to enter the surgical process. Director Wu told the reporter that after opening the abdominal cavity, the doctor may be faced with a definite necrotic intestine and a suspicious necrotic intestine. The suspicious necrotic intestine actually has a silver lining. “We don’t immediately suture the patient’s abdomen, but instead we put a special patch on the patient’s abdomen and continue to observe for a week.” This decompresses the patient’s abdomen and acts like a “cling film” for the wound, so the doctor can keep an eye on the recovery of the intestine. After a week, a second visit will be made to determine whether to remove it or not. Mr. Wang finally had only 2 meters of intestine removed after this surgery.
Reminder: People with “thrombosis” should be careful.
Although the incidence of “intestinal stroke” is not high, foreign statistics of 100,000 people will have 20 to 30 cases, but “intestinal stroke” is easy to be misdiagnosed, if the treatment is not timely, patients may face very bad consequences. Dr. Wu reminded that “intestinal stroke” is either primary or secondary. Generally speaking, people of advanced age, with high blood pressure, high blood pressure, atrial fibrillation and other heart diseases should be especially careful, and women who have been taking oral contraceptives for a long time and whose blood is in a hypercoagulable state should also be especially careful. Patients who have had “intestinal strokes” should be aware of the possibility of recurrence because the risk factors for blood clots still exist. When severe abdominal pain occurs but is not consistent with symptoms such as appendicitis, consider having an abdominal CT angiogram to rule out the possibility of intestinal stroke.