Start as an Emergency Physician

He Jianyi sighed and shook his head.

Zhou Yuan remembered his ununlocked total gastrectomy.

"Teacher, maybe you can try a total gastrectomy. Zhou Yuandao.

"No, I can't. It has reached the advanced stage of gastric cancer, and the adjacent organs have also been invaded by gastric cancer, so there is no point in doing total gastrectomy. "

He Jianyi frowned: "Moreover, total gastrectomy is a fourth-level operation, which is extremely difficult, and only senior chief physicians dare to do it." "

"The ultrasound showed that only part of the adjacent organs were affected, and we could remove all the affected organs together. Zhou Yuan handed over the abdominal ultrasound.

Before the two finished discussing, Yang Wei's wife crossed her hands and posed in an X-shape, "No! Without a stomach, what will my husband eat in the future!

Zhou Yuan explained helplessly.

"The function of the stomach is really important, but it doesn't mean much to your husband anymore. In fact, the stomach only provides the mechanical function of temporarily holding and grinding food, and there is also a negligible part of the digestion and absorption function. "

This is a misconception that many people have about total gastrectomy surgery.

Zhou Yuandao: "The digestion of food mainly depends on the small intestine, even if a total gastrectomy is performed, there will still be a feeling of hunger, and the digestive function of the intestines will not be affected. After a total gastrectomy, there are many ways to reconstruct the digestive tract. "

"Yes... Do you want to leave a little bit?" asked Yang Wei's wife cautiously.

Zhou Yuan shook his head helplessly: "We can only consider the long-term effect. Your husband discovered stomach cancer too late and can only consider a total gastrectomy now. "

"What will happen to my husband..."Yang Wei's wife wiped her tears.

Zhou Yuan hesitated, but still chose to tell the truth.

"Patients with advanced gastric cancer will have a significant decrease in their quality of life. After that, hematemesis and black stool may occur, accompanied by symptoms such as anemia and weakness of the limbs. "

"I had him go to the hospital a long time ago to read it! I wrote that novel every day, and when I vomited blood, I said that I wanted to update it! Woo woo woo..." Yang Wei's wife sobbed.

"What else is there?" Yang Wei's wife intends to accept all the blows at once.

"Also, persistent epigastric pain. After that, there is swelling pain and edema. The terminal stage is accompanied by symptoms such as loss of appetite, nausea and vomiting, and dysphagia. "

Of course, Zhou Yuan still has some words that he has not said.

In the advanced stage of gastric cancer, the cells of the cancer will directly spread to the adjacent pancreas, liver, transverse colon node, and may also metastasize to the perigastric lymph nodes and distant lymph nodes through lymph, which can be judged by touching the left supraclavicular hard and immobile lymph nodes.

In addition, cancer cells can also metastasize to liver metastases, brain, bones, ovaries, etc., through blood circulation, resulting in symptoms such as ascites, jaundice, and hepatic ascites.

The enlargement of the cancer itself can also cause complications such as gastric perforation, bleeding, necrosis, and obstruction.

In any case, when it came to the advanced stage of stomach cancer, Yang Wei's life was basically over.

Performing a total gastrectomy is nothing more than prolonging life and improving the quality of life in the final stage.

Zhou Yuan mentioned again: "The five-year survival rate after total gastrectomy is about 20%, or you can choose chemotherapy to delay tumor recurrence and control tumor progression, but in your husband's current situation, it is of little significance to do chemotherapy, and if you don't have a total gastrectomy, I'm afraid you won't be able to last long." "

"I see. Is it okay for me to discuss it with my husband?" Yang Wei's wife lowered her head.

The door of the ward closed again, and Zhou Yuan caught a glimpse of Yang Wei sitting up in pain, and he made a grimace with himself.

"Teacher, what is your decision?" Zhou Yuan asked.

"There is a director of the Department of Gastroenterology who is good at total gastrectomy, but he was invited to operate on a cadre in another province. He Jianyi was a little embarrassed.

In hospitals, interns receive a subsidy of a few hundred yuan a month, and some poor hospitals also require interns to pay backwards. The resident doctor is only two or three thousand yuan, and the seniority is several thousand.

Experts like this kind of flying around the country can get a salary of 12,000 yuan for a consultation, which is a big difference.

Zhou Yuan looked at his three intermediate treasure chests and said, "Teacher, maybe I can." "

He Jian's eyes ignited the desire to be a helper, "You can?!".

He didn't understand it.

Can I do a total gastrectomy, but I can't do a gastroscopy?!

"You kid won't let me practice gastroscopy and see my level!" He Jianyi was suddenly happy and guessed.

Zhou Yuan smiled: "You are my teacher, how dare I!".

"Can you really complete a total gastrectomy?" laughed a few words, and He Jianyi became serious.

Seeing Zhou Yuan nodding, He Jianyi also nodded.

In this disciple, He Jianyi has seen too many miracles, and he is a little numb now.

"Okay, call the ocean. He Jianyi said quickly.

It's time for He Jian's first-echelon doctors to study again.

After the completion of the preoperative examination, Yang Wei's body can be completely resected with a total gastrectomy.

Zhou Yuan also quietly opened the system panel.

The three intermediate chests disappeared, and a brand new icon lit up.

"Get! Master Total Gastrectomy!".

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The fifth update is sent, the sixth update begins, and the data is sought!