Wear "needle" in the endoscopy to eliminate the tumor that loves "hiding cats"

Author:Beijing Friendship Hospital Time:2022.08.12

Uncle Wang, 83, has a strange disease that has troubled him for 7 years. In the past 7 years, he frequently had panic, sweating, and hypoglycemia. No matter what he did, he had to carry sugar or sugar pieces with him. As long as he was not supplemented in time, he might mixture at any time. At the beginning, the symptoms of hypoglycemia appeared 1 or 2 times a day, and Uncle Wang could barely endure, but since January of this year, after a severe pneumonia, his symptoms of hypoglycemia suddenly become frequent. 6 times, it has a serious impact on daily life, and may even endanger life.

After being diagnosed with a foreign hospital, it was found that the reason for Uncle Wang's hypoglycemia was a tumor on the pancreas -insulin tumor. This tumor secretes a large amount of insulin, causing patients' hypoglycemia. Insulin tumor is a relatively rare disease that belongs to the range of gastrointestinal neuro endocrine tumors. The preferred treatment method is surgical resection lesions. However, Uncle Wang is 83 years old. The risk of surgical surgery in part of the pancreas is high. Patients and their families do not want to take this danger.

It has been reported that "alcohol dishuming", a minimally invasive technology in the field of tumor treatment, can cure insulin tumors. It destroys cells by injecting water -free alcohol in the tumor to achieve the purpose of eliminating tumors and healing diseases. However, because Uncle Wang's tumor is located at the tail of the pancreas, it is very hidden, and the lesions are small, the maximum diameter is only 1.4 cm. If you want to accurately shoot water -free alcohol into the tumor, you need a doctor with superb endoscope and ultrasonic puncture technology. To be done. Uncle Wang had tried to use this method in other hospitals before, but he could not successfully complete the treatment due to ultrasonic gastroscopy.

On the occasion of despair, a friend suggested that he came to Beijing Friendship Hospital affiliated to the Capital Medical University. This is the center of the national digestive system disease clinical medical research center, with the top domestic digestive experts, technology and endoscopic equipment. With a sorrowful mood, Uncle Wang accompanied the family to the Beijing Friendship Hospital Digestion Center for treatment.

During the consultation process, Zhang Yantian, the dean of Beijing Friendship Hospital and the digestive expert, and Li Peng, deputy director of the digestive branch center, learned in detail the condition of Uncle Wang, and after reading his imaging information carefully, he believed that the patient's problem could be solved. Essence This also made Uncle Wang's family re -ignite hope.

During the operation, Director Li Peng personally operated. At first, the conventional meridian cavity was used to insert an ultrasonic gastroscopy. However, no lesions at the tail of the pancreas were found after repeated observation. Will you repeat the same mistakes and can't find the tumor? The family is worried. Director Li Peng and the team read the film again and discussed it repeatedly. They believed that Uncle Wang's lesions were not only at the tail of the pancreas, but also the blind spots of the pancreas through the stomach, so the conventional method could not see the lesion. In order to solve the patient's problem, Director Li Peng proposed a bold idea -operation through the colonic path.

The operation of the colonic pathway is very difficult to operate ultrasonic endoscopic puncture. Due to the bending of the human colon, the ultrasonic endoscopy is a side mirror, with limited vision. To successfully complete the operation, not only requires doctors to be skilled, but also has rich clinical experience. Director Li Peng first detects the ultrasonic endoscopy to the colon where the pancreas is approaching, and then carefully searched with skilled operation techniques and rich experience. Finally, he successfully found this repeatedly led to the patient's hypoglycemia and love. The culprit of cats -1.4*1.2 cm insulin tumors. Subsequently, Director Li Peng accurately punctured tumors under the supersonic guidance, injected 1 ml of water -free ethanol in the tumor, smoothly bonded the lesions, and the entire operation process was very smooth.

Postoperative review shows that the patient's analogenic insulin level is reduced from 894.70 UIU/ML before surgery to 4.22 UIU/ml, and the level of an empty stomach C peptide is reduced from 40.0ng/ml to 1.42ng/ml. The level also reduced from 99.96ng/ml to 88.69ng/ml. All three key indicators have been reduced to normal levels, and patients have no symptoms of hypoglycemia anymore, and the monitoring of blood glucose is also in the normal range. Uncle Wang's illness was finally cured at Beijing Friendship Hospital, and the heart of patients and family members finally let go. Uncle Wang was so excited that he was crying, and every person said, "The doctor at the Digestion Center of the Friendship Hospital gave me the second life."

Excellent team, superb technology completely solve the stubborn illness of the elderly, and also eliminate the concerns and burdens of family members. Beijing Friendship Hospital has always adhered to the purpose of "serving the people" and practiced the vows of saving the wounded with practical actions. In the future, the hospital will continue to improve the service level and contribute to protecting patients' lives and health.