During a trip with his whole family to Ngoc Island, Mr. Phan Anh Tuan (61 years old - address in Thanh Xuan, Hanoi) suddenly vomited blood and had to be hospitalized overnight. Fortunately, with timely emergency and endoscopic treatment to stop bleeding and ligation of the dilated esophageal varices quickly, Mr. Tuan passed the critical condition, recovered well, and was able to return to Hanoi after 5 days of treatment.
Mr. Phan Anh Tuan entered the emergency room of Vinmec Phu Quoc on the night of June 26, 2021 in a state of 4 consecutive times of vomiting dark red blood. Suspected cause of hematemesis is rupture of dilated esophageal varices in the background alcoholic cirrhosis, assessing the critical situation, the prognosis is bad - the patient is at risk of death, the Vinmec Phu Quoc emergency crew immediately performed active resuscitation: vasopressor, blood transfusion, active medication for the purpose of hemodynamic stability for Mr. Tuan.
After the unremitting efforts of the emergency team, Mr. Tuan temporarily overcame the critical situation. When hemodynamics stabilized, gastroenterologist Vu Tan Phuc coordinated to perform endoscopy. Endoscopy determined that Mr. Tuan had gastrointestinal bleeding due to rupture of esophageal varices at grade III, Doctor Tan Phuc quickly conducted ligation of varicose veins with a rubber ring.
Endoscopic esophageal varices with rubber rings is a quick, low-complication technique, effectively applied in hemostasis in patients with esophageal varices. The doctor uses rubber bands to stop blood loss from a ruptured esophageal vein. However, there is still the possibility of bleeding again after the ligation. Therefore, Doctor Tan Phuc must constantly monitor and closely evaluate the patient's condition. Fortunately, after endoscopic ligation of the dilated esophageal varices, Mr. Tuan's bleeding was completely controlled, no further blood vomiting occurred..
After 5 days of treatment at the intensive care unit ICU at Vinmec Phu Quoc, Mr. Tuan has recovered well and can be discharged from the hospital and returned to Hanoi. This is probably an unforgettable trip for him and his family. Now, the moment of fear and anxiety because of the incident has passed, Mr. Tuan is grateful to the Vinmec Phu Quoc doctors for their successful efforts to save him from death and cherish his life more than ever.
In the case of Mr. Phan Anh Tuan, Doctor Tan Phuc affirmed that the role of the emergency resuscitation team is extremely important, if the resuscitation is not good, the patient may die before endoscopic intervention. That's also why Vinmec Phu Quoc International Hospital over the years has constantly focused on training and developing emergency resuscitation capacity, in order to increase the survival rate and successfully treat serious and critical emergencies on the island.
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