Tumors block the large intestine! Stent-assisted distal intestinal perforation

Intestinal stent can replace artificial? 1 80-year-old uncle Lin suffers from colorectal tumor complicated with intestinal obstruction and poor defecation. The diameter of the swollen intestine is nearly three times larger than usual, and he is in danger of necrosis and perforation. Generally, artificial defecation will be done after operation, but the doctor will first use "intestinal stent" to improve abdominal distension, and then remove the tumor, so that the patient will not be troubled by artificial defecation, and his stomach will no longer make a thunderous sound.

Normal people's large intestine is less than 3 cm in diameter. If the obstruction leads to excessive dilatation, there is a risk of necrosis and perforation. Refuse to be replaced by artificial intestinal stent

Fang Jiawei, a colorectal doctor at Taichung Tzu Chi Hospital who admitted the case, said that the patient had poor defecation for some time and always thought it was constipation. At first, it won't hurt, but there's always a rumbling sound in my intestines, and the volume is like thunder. Until half a month ago, my stomach was too painful to speak. He went to the hospital for computed tomography and colonoscopy, only to find that the tumor blocked the large intestine.

Normal people's large intestine is less than 3 cm in diameter, but Grandpa Lin, who suffers from colorectal cancer complicated with intestinal obstruction, has swollen to 7 or 8 cm when he went to the hospital because of difficulty in defecation, which is nearly three times that of normal people. If not treated as soon as possible, his intestine will be necrotic and perforated, and then complicated with peritonitis. However, as soon as the patient heard the doctor say that he wanted to do artificial work, he actually "would rather not do it".

After thinking, Dr. Fang Jiawei suggested the treatment of "intestinal stent". First put the stent to open the intestine, so that the blocked excrement can be discharged smoothly. After several days of rest, the tumor was removed by laparoscopic surgery and the stent was taken out. Results He was discharged less than 10 days before and after the second operation and recovered well. From then on, I bid farewell to the problem of bloating and thunder.