Clinical application research of a novel gastrointestinal occluder device for endoscopic closure of gastrobronchial fistula (with video) / 中华消化内镜杂志

To evaluate the therapeutic effectiveness and safety of a novel gastrointestinal occluder device for gastrobronchial fistula. Data of 5 patients diagnosed as having gastrobronchial fistula who received treatment by a novel gastrointestinal occluder device at the First Affiliated Hospital of Nanjing Medical University from July to August 2020 were retrospectively analyzed. The total operation time, occluding time, intraoperative and postoperative complications, postoperative hospital stay and patients′ satisfaction were reviewed. Regular follow-up was conducted, and the short-term curative effect of occluding was evaluated 1 month after operation.All patients were males with age of 58-69 years. The course of fistula ranged 3-16 months and the diameter ranged 0.3-1.0 cm. All 5 patients achieved technical success with operation time of 38-88 minutes and occluding time of 8-24 minutes. The postoperative hospital stay ranged 3-5 days and the patients′ satisfaction score was 10. No severe complications occurred during or after operation. One month after endoscopic therapy, fistula was completely occluded in 4 patients. One patient died due to severe pulmonary infection and multiple organ failure although the bucking symptom after drinking and eating recovered before. Endoscopic closure of gastrointestinal fistula by means of the novel gastrointestinal occluder device is safe and effective.

Empirical Investigation and Countermeasure Analysis of the Present Situation of Medical Students′Medical Ethics Education / 中国医学伦理学

Objective:To investigate the present situation of medical students′medical ethics education and fur-ther to put forward countermeasures for medical colleges and universities. Method:With the methods of question-naire, literature and interview, medical students of the second grade and above in Xi′an Jiaotong University, Xin-jiang University and Xinjiang Medical University were investigated. SPSS 20. 0 was used to establish a database and frequency analysis method was used to analyze data. Results:It is suggested that some medical students′ motiva-tion to be a doctor is pure and the professional ethical identity is correct. There exist problems in the evaluation of ethics anomie behaviors. The students lack of cognition of medical ethics but pay more attention to medical technol-ogy. Most of the medical students think that clinical practice education and the model demonstration of teachers are conducive to medical ethics education. Conclusion: Universities can develop their own medical ethics education mode through various forms of classroom education, the involvement of old professors in teaching, strengthening learning of medical laws, daily ideological education by counselors and the construction of campus spiritual civiliza-tion.