The outpatient time officially ended two hours later. Sun Lien did not rush to leave the gastroenterology clinic. He really wanted to see what this "black esophagus" was.

Due to the lack of staff in the secondary peacekeeping hospital, the only gastroscopy in the hospital was placed in the clinic of the gastroenterology department. Only after the clinic was cleared can the doctors start to check Peter. There was also a slight accident during the examination. Peter, who had been drinking all year round, did not respond well to the anesthetics contained in his mouth. As soon as the probe entered his throat, it seriously caused Peter to retreat or even vomit. Many attempts failed. In the end, the doctor in the gastroenterology department could only perform general anesthesia on Peter with the help of the anesthesiologist. Then he started the gastroscopy smoothly.

The black probe gradually penetrated Peter's throat, and then appeared in front of the doctors, a scene that could be called "big" was seen.

Peter's upper esophagus is quite normal. But when the probe enters the middle and lower esophagus, it looks much weirder - the inner wall of the middle and lower esophagus is full of diffuse white and black marks. Some black marks do not look too deep, and their boundaries on the mucosa are unclear, and they are also green.

The most consistent description that Sun Lien could find was mold. Peter's esophagus looked like a moldy PVC tube with moldy inner wall, and it was the type that was completely normal in the first half and suddenly began to mold after the second half. On Peter's esophageal mucosa, the boundary between the normal area and the white and black area was very obvious. On the contrary, the boundary between the white and black area was unknown.

"What is this..." The knowledgeable gastroenterologist was a little confused when he saw this scene. He turned his head and looked around, then said to himself, "Isn't this moldy?"

"Take a biopsy?" The anesthesiologist hugged his chest with his hands on his chest, looking at the fun. "Anyway, we have already had a gastroscopy, so let's take a sample."

The doctor in the gastroenterology department was very kind. When he was about to start the operation, he shook his hand gently and touched the probe.

The picture on the probe was in full bloom. When the picture stopped again, Sun Lien saw a large piece of white mucosa on the esophageal wall falling off. Under the shedding mucosa, there were a few bright red tissues appearing - blood was slowly leaking outwards.

"The esophageal mucosa is not so fragile, right?" Sun Lien asked a question. He had never seen gastroscopy much. But I think if the esophageal mucosa falls off like this, then the patient can completely say goodbye to solid food.

"No... I won't react when I encounter it." The doctor of the gastroenterology department frowned, then controlled the probe and looked down. "The cardia mucosa is normal, and the lesion range is limited to the middle and lower sections of the esophagus." He operated the sampling forceps and clamped a piece of tissue in the lower and middle sections of Peter's esophagus. "I'll send the sample to the laboratory department now."

Sun Lien and the doctor from the Department of Gastroenterology rushed to the laboratory department together. The treatment room of the Department of Gastroenterology was left with an anesthesiologist who was a little depressed because he couldn't go and watch the fun, and Peter who was gradually awakening. As for the Pakistani captain... he enthusiastically stated that he would stay at the door of the room and wait for Peter to wake up completely.

"What level is this patient? Two people have to give the sample back?" The doctor in the laboratory department was obviously stunned by this situation. After he took the sample, he immediately started to perform a section examination. "You go outside and wait, I guess I will finish it in half an hour."

Sun Lien, who was waiting for the results at the door, had a happy chat with the doctor in the gastroenterology department. Sun Lien, the name of "diagnosis genius", was not so loud that it could be known to the peacekeeping hospital in Politanvia. During the daily "case sharing", Sun Lien continued to gain the amazement of the gastroenterologist in front of him. After the two chatted for a while, the other party vividly gave Sun Lien a nickname, "You are Conan in the medical field!"

Conan Sun spread his hands and expressed helplessness, "I didn't find these things myself... I'm sitting at home, but things come to my door."

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The test report was released under the squatting of two doctors. The pathological test results of the laboratory department were "considering erosion, inflammatory exudation, and a large number of acute and chronic inflammatory cells were seen under the microscopy." This test result was a comparison with the previous gastroscopy results, and the diagnosis content was naturally revealed - acute esophageal necrosis (black esophagus).

"Be hospitalized." The doctor in the gastroenterology department scratched his head, but his tone was not helpless - but more excited. In fact, it is easy to understand. The probability of this esophageal disease is so low that it is scary. There has been only one case reported in China in 17 years. In addition to domestic reports, there have been seven cases reported worldwide. Now the eighth case occurs in front of him, and any doctor will be excited - just this, he has at least three articles to publish.

The pathogenesis of acute esophageal necrosis is still unclear, and most of the seven reported patients have underlying diseases. Among them, gastroesophageal reflux disease, alcoholism and diabetic ketoacidosis are the most common. Alcohol hepatitis and cirrhosis hepatic encephalopathy are also reported. Peter's condition is quite special. He is the only patient who has been drinking alcohol for a long time but has no alcoholic hepatitis or cirrhosis.

Yes, although Peter was severely dependent on alcohol, he miraculously did not suffer from cirrhosis or alcoholic hepatitis. Sun Lien and the digestive physician could not think of any possible explanation. In the end, everyone could only attribute this to the physical problems of the Russians. Acute esophageal necrosis is not a particularly serious lesion. Among at least seven cases, only the patient with cirrhosis hepatic encephalopathy died in the end, and the cause of death was caused by liver failure rather than esophageal necrosis.

"Put him antibiotics to fight infection, use omeprazole to inhibit the injury, and use metoclopramide to prevent ejaculation, and correct the electrolyte balance." The doctor in the gastroenterology department discussed with Sun Lien for a while and finalized the treatment plan. "The main focus is to control the injury and promote natural perfusion and re-energization of the body."

The blood supply structure inside the esophagus is complex. Although doctors cannot find the blood vessels that cause acute esophageal necrosis, the compensation ability of the human body itself can naturally restore blood supply in this area. All they have to do is protect the esophagus, control further damage, and then wait.

Sun Lien looked at the test result and then made up his mind that he would not intend to directly participate in the treatment before returning to China.

This inexplicable rare disease constitution is not known what medicine to use to cure it well.
Chapter completed!