Qianjiang Evening News·Hour News Reporter He Lina Correspondent Shen Wenli
People are not unfamiliar with intestinal polyps . After all, in daily physical examinations, the detection rate of intestinal polyps is second only to nodules . Most patients with intestinal polyps do not feel discomfort. Many people do not care about it normally, until they find something wrong, but regret it too late, and they often have lesions or even cancer.
67-year-old Zhang Dafu (pseudonym) has a history of diabetes for many years. In the past six months, he has always felt bloating. He thought his blood sugar was not controlled properly. After the examination at the community health service center, he was told that it was not a blood sugar problem. In order to find out the reason, the doctor from the community health service center left the doctor to send Uncle Zhang to the Department of Gastroenterology of Xixi Hospital in Hangzhou through the two-way referral channel of the city medical alliance .
After receiving the treatment, Dr. Li Xiao of the Department of Gastroenterology suggested that Uncle Zhang further improve the gastroenteroscopy, but after getting the results, everyone was shocked: the doctor found nearly 20 polyps in Uncle Zhang's intestines, the largest one was as big as a soldier ball.
After communicating with Uncle Zhang, Dr. Li conducted a polyp removal for him. The polyp removed locally had high-grade epithelial sarcoma, which means that local cancer had become cancerous. "Fortunately, Uncle Zhang came in time. If it was a while later, it might not be possible to perform minimally invasive treatment under endoscopy."
Photo Note: The "ping-pong bomb" removed under endoscopy
Compared with Uncle Zhang, Aunt Chen's family is not so lucky.
67-year-old Aunt Chen is in good health, and she usually has no symptoms such as gastrointestinal discomfort, so she has never had gastroenteroscopy every year. After this year's routine physical examination found that the occult blood in the stool was positive, she hurried to Hangzhou Xixi Hospital for treatment. Dr. Li Xiao, who was treated in
, arranged a gastroenteroscopy for Aunt Chen. gastroscopy showed that atrophic gastritis was accompanied by Helicobacter pylori infection, and colonoscopy showed that there were multiple polyps and rectal cancers in the intestines, and the large polyps in the rectum had become cancerous. After further improvement of CT and other examinations, it was found that liver metastasis was found. Finally, Aunt Chen underwent radical rectal cancer surgery and ostomy, and partial resection of liver lobes and .
Considering that Aunt Chen has Helicobacter pylori infection, this is often a family gathering. Dr. Li reminds his family that it is best to conduct an exhalation test as well; if you are over 40 years old, it is recommended to improve gastroenteroscopy at the same time.
As expected, Aunt Chen's husband showed chronic atrophic gastritis after examination, and H.P.2 colonoscopy showed multiple colonoscopy , and a larger pedicle polyp. After her son improved gastroscopy , he also showed Helicobacter pylori infection. The colonoscopy found that there were polyps in the rectum, including spherical pedicle adenomatous polyp with a diameter of nearly 1 cm. After a period of treatment, Aunt Chen and her family were finally discharged from the hospital.
Doctor reminds that if people meet any of the following conditions, it is recommended to improve gastroscopy immediately:
1, older than 40 years old;
2, Hp infected people;
3, chronic atrophic gastritis, gastric ulcer , gastric polyps , gastric polyps , gastric cancer, etc., gastric cancer, pre- gastric cancer diseases such as gastric cancer;
4, first-degree relatives of patients with gastric cancer;
5, other high-risk factors for gastric cancer (high salt, pickled diet, moderate drinking, smoking, etc.).
. People aged 50-75 years old, with positive stool occult blood, or have precancerous diseases such as colorectal adenomatous polyps, ulcerative colitis, Crohn's disease, , etc., it is recommended to improve colonoscopy . Dr. Li introduced that gastroenteroscopy can now be painless. Generally, the examination is completed after a "sleep". However, for safety reasons, it is recommended that patients do not drive or engage in fine work within 24 hours after anesthesia.
This article is an original work of Qianjiang Evening News. Reproduction, copying, excerpting, rewriting, and online dissemination are prohibited without permission. Otherwise, this newspaper will pursue legal liability for the infringer through judicial channels.
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