Surgery Godfather
Chapter 1270 - 967: The World’s First Is That Easy?

Chapter 1270: Chapter 967: The World’s First Is That Easy?

Intestinal intussusception is also quite urgent, and shouldn’t be delayed too long, as prolonged issues can easily lead to complications like intestinal necrosis. Therefore, Yang Ping asked the Overseas Chinese Building to arrange an emergency surgery for him.

The surgery was led by Director Ji from the Intervention Department, whose capabilities were quite strong, especially with both Director Guan and Director Ji, the two major directors at the helm. Director Guan specialized in cardiovascular interventional treatments, whereas Director Ji was an all-around expert, very skilled in performing interventional surgeries on the cardiovascular and brain blood vessels, tumors, and more.

Although enema treatment for intussusception is not an interventional surgery, it required the Intervention Department’s X-ray machine, which was better than the gastro-intestinal X-ray machine, providing clearer monitoring. As for performing enemas under X-ray supervision, it was quite simple for Director Ji, who, as a generalist in the Intervention Department, had also helped the Department of Gastroenterology with many such cases.

"It was just acute pancreatitis initially, but then intussusception unexpectedly emerged."

Niu Zhixuan sighed.

Dr. Feng, who was managing his care, comforted him, "You’re quite lucky. Acute pancreatitis can be fatal in severe cases, but you just had the mildest form with edema. As for the intussusception, if Professor Yang hadn’t seen you that day, who knows how soon it would have been discovered. If it had been found any later, you might have ended up undergoing surgery."

Being a doctor, Niu Zhixuan was very aware that adult intussusception was quite rare. Given his abdominal pain at the time, if not for Yang Ping’s extensive experience, most doctors would have assumed it was a recurrence of the pancreatitis. Delaying a few days to perform a CT scan could easily miss the optimal treatment window.

"How are the tumor marker results? Have they not come out yet?"

Niu Zhixuan was still anxious, unable to be fully at ease without seeing the final results.

Previously, when he worked as a pediatrician, he earned little money despite the endless night shifts that severely impacted his health. In the past two years, he had made a lot of money selling health products and had planned to enjoy life. Now, with this complication, Niu Zhixuan prayed that there wouldn’t be issues with his health.

Dr. Feng refreshed the tablet in his hand; the results of Niu Zhixuan’s tumor markers were out.

"CEA elevated! 190μg/L!" Dr. Feng swiped his finger, revealing the latest results.

This news struck Niu Zhixuan like a thunderbolt, as elevated CEA indicated a possible tumor, and it was alarmingly high.

"After the enema, go back to the ward, and we’ll do further checks; don’t worry too much," Dr. Feng reassured Niu Zhixuan.

At that moment, Niu Zhixuan’s mind was blank, and he was anxious, but he knew the priorities. The immediate concern was to address the intussusception, as intestinal necrosis would complicate matters. After resolving the intussusception, they could slowly investigate the cause of the elevated CEA.

If only he hadn’t had that night snack, he wouldn’t have developed acute pancreatitis, wouldn’t have come to the hospital, wouldn’t have been checked, and wouldn’t have had all this trouble.

"Old Niu, why are you trembling all over during an enema? You’re a pediatrician after all."

Little Five noticed that Niu Zhixuan’s entire body was stiff and he was constantly trembling.

As Yang Ping was busy, Little Five, being a friend, took some time to join Niu Zhixuan’s side, just after passing by with the nurse and noticing that Niu Zhixuan was in a rigid state and shaking.

"Where am I trembling? Your air conditioning is just too cold."

Niu Zhixuan retorted.

Little Five glanced at the wall’s control panel, which showed the air conditioning was set at a comfortable 25 degrees.

"Let him rest for a bit, or give him something to calm him down," Director Ji said, noting not only Niu Zhixuan’s trembling but also his rapid heart rate, obviously caused by nervousness.

"Don’t be scared, it’s just an enema, just under X-ray supervision," the nurse bolstered Niu Zhixuan’s courage.

I’m not scared of the enema; it’s the elevated CEA that’s terrifying.

The principle of using contrast media for treating intussusception is actually quite simple: if you consider the intestinal tract as a long balloon, because a balloon can be twisted and nested when deflated, now by injecting water or air into the balloon, it immediately expands, eliminating any twists and nests.

Expanding a balloon is simple, but expanding the intestines isn’t so straightforward, and there’s a certain failure rate. If the enema fails to resolve the intussusception, surgery is the only solution, opening the abdomen, manually rearranging the intestines, then sewing the abdomen back up.

---

Because Yang Ping was on leave a few days ago, Director Liao had been waiting for Yang Ping to perform a lung nodule biopsy. The nodule’s diameter was less than 0.5 cm, quite small, making the biopsy extremely difficult. While theoretically feasible, in practice, it was virtually impossible, but this matter was crucial for Director Liao, being a key factor in his promotion. He couldn’t let this affect his advancement.

While it might seem minor, this nodule could be significant. If not taken seriously, it might be nothing, but it could also be significant. An undetermined nodule could be benign or malignant, fifty-fifty, and that makes it a risky matter.

Although Director Liao was already fifty, he was considered young in his circle. His future was not limitless, but it was still promising. He lay on the operating table, feeling uneasy. Although Yang Ping had told him the likelihood of malignancy was minuscule, to a patient, it’s the difference between zero and a hundred.

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