There is responsibility on the shoulders and strength under the feet. As the director of the anorectal department of Nanjing Dingyishan Specialist Hospital and the young backbone of the hospital, Li Zhongyi is deeply loved by colleagues and patients with his excellent technical strength and high affinityIn his opinion, medicine is constantly evolving, and the pace of learning is endless.
Many people's knowledge of anorectal diseases is limited to hemorrhoids. Li Zhongyi said, in fact, anorectal diseases are as small as hemorrhoids, fistulas, fissures, and colorectal tumors, and we have hundreds of common diseases. Nowadays, with the improvement of living standards, affected by many factors such as changes in dietary structure and accelerated pace of life, the incidence of anorectal diseases is increasing year by year. Li Zhongyi told reporters that before he transferred from the Department of General Surgery to the Department of Proctology, he also felt that the Department of Proctology had room for deep cultivation and exploration, and was more able to pursue excellence. In today's increasingly delicate minimally invasive surgery, he has always pursued the delicacy of wounds and the reduction of pain. "We need to operate to remove hemorrhoids, but not to make the patient too painful, on the basis of retaining the best function, but also pay attention to aesthetics and wound healing, and to design the width and length, can not cut more or less, wide ** will become narrow, short may cause flap edema, in addition to the treatment details such as counterpart drainage, postoperative anti-infection, etc., need to spend a lot of energy to study the best plan. In clinical work, Li Zhongyi has the spirit of never stopping, and it is this spirit that makes him proficient in the diagnosis and treatment of common anorectal diseases, and also has his own unique views on the incurable diseases of anorectal specialists, and is good at minimally invasive surgery for mixed hemorrhoids, fistulas, and perianal abscessesHe also has rich clinical experience in the diagnosis and treatment of diseases such as annular mixed hemorrhoids and high-complexity fistulas. "In fact, many times there are similar or the same symptoms, and the disease is different. A simple blood in the stool can have a variety of possibilities such as hemorrhoids, fissures, enteritis, polyps, tumors, etc. We should choose a targeted program according to the classification and characteristics of different individuals and different diseases of patients. ”
The disease spectrum of the anorectal department has gradually expanded from the original hemorrhoids, fistulas, and perianal abscesses to the intestinal aspect, including polyps, tumors, inflammatory colorectal changes, ulcerative colitis, chronic irritable colon syndrome, etc., and the disease spectrum has gradually broadened. As an anorectal and gastrointestinal specialty hospital featuring specialty, special disease and special treatment, Nanjing Dingyishan Specialized Hospital is based on the more than 300 years of inheritance of "Ding's hemorrhoidal medical skills", with the combination of traditional Chinese and Western medicine as the basis for diagnosis and treatment, using Ding's ancestral and innovative development of a series of traditional Chinese medicine, as well as traditional and minimally invasive surgery, capsule endoscopy and digestive endoscopy combined with other methods of anorectal and gastrointestinal diseases. In the long-term clinical practice, a unique academic thought and diagnosis and treatment system have gradually been formed, which has relieved the pain of countless patients with anorectal diseases. "Specialist hospitals are characterized by a focus on one specialty. The medical resources and equipment of the hospital are all used for the specialty of the disease, which is relatively professional, and the subjects studied are relatively specialized, which can give patients a full range of solutions. Li Zhongyi introduced that Nanjing Dingyishan Specialized Hospital is not only equipped with endoluminal (B ultrasound, gastrointestinal endoscopy, gastrointestinal motility** equipment, digestive tract vibration capsule system, as well as fecal imaging, colon transport test and other equipment, which can be called far ahead.
According to relevant studies, more than 85% of bowel cancer is caused by intestinal polyps, although a small number of patients may have abdominal pain, diarrhea, bloody stools, mucus stools and other uncomfortable symptoms, but most intestinal polyps do not have any symptoms under normal circumstances, if not actively checked, it is difficult to detect the "time bomb" in the early stage. The discovery of intestinal polyps can only rely on colonoscopy, and endoscopic mucosal dissection (EMR) and endoscopic argon ion coagulation of rectal polyps (APC) have also been widely carried out, which makes Li Zhongyi see the broad prospects of digestive endoscopy technology, digestive endoscopy is not only a simple examination tool, and the development and application of endoscopic surgery have made many diseases continue to tend to be minimally invasive. "I hope that I will always maintain my enthusiasm for learning Xi, so that patients can get better services and be a good 'mirror' of patients' health." Li Zhongyi introduced that EMR and APC, as a routine operation, have been carried out in Dingyishan Specialist Hospital for many years, and the technology has been relatively mature. Endoscopic mucosal dissection (EMR) refers to the removal of the lesion with a snare after submucosal injection, which has the advantages of no incision, no invasiveness on the body surface, less trauma, less bleeding, and fast recovery. Endoscopic argon ion coagulation (APC) for rectal polyps has the advantages of less local damage, good controllability, and fewer complications, especially in the efficacy of flat, broad-based polyps or polyp-like bulges, and has more clinical promotion value than other methods in gastrointestinal polyps**. "For healthy people over 40 years old, with or without symptoms, it is recommended to have at least one gastrointestinal endoscopy, preferably regularly, especially for people with a family history of gastrointestinal tumors. Li Zhongyi suggested that the progression process of gastrointestinal polyps is mostly small polyps, large polyps, severe dysplasia, carcinoma in situ, invasive carcinoma, and the malignant transformation process takes at least 5-8 years, so during this period, if the physical discomfort can be detected in time, or colonoscopy can be carried out early, intestinal polyps can be detected as soon as possible, and treated accordingly to prevent the occurrence of cancer. At present, the popularization of gastrointestinal endoscopy has completely subverted the examination experience of traditional endoscopy to ensure comfortable diagnosis and treatment.
Yangtze Evening News Purple Cow News reporter Kong Xiaofang.
Proofreading by Sheng Yuanyuan.