This Doctor is Great

Chen Meiman,

A very beautiful girl.

What manicure and hairdressing is basic practice.

2 years ago, I started to use a knife on my chest to enlarge it.

One year ago, I felt that it was not enough, so I started to use a knife on my face, augmented my nose, and padded my chin.

Then,

She was a little bewildered, feeling that she was not slim enough, and then learned about weight loss tea, roundworms, gastrectomy...etc.

After trying slimming tea to no avail, she felt that roundworms were too disgusting, so she decided to take part of her stomach.

Used for weight loss purposes.

So, 2 months ago, after communicating with the hospital many times, she underwent a "gastric sleeve resection".

(Surgery Diagram)

yes,

The stomach can be partly or even completely removed.

It is not a necessary organ like the heart and lungs, which can be cut off.

Generally, there is only gastric cancer, or there is a large trauma in the stomach, and there is no way to suture it...

Patients with such problems will have to undergo gastrectomy, subtotal gastrectomy and other operations.

However, the side effects of gastrectomy are not small, and usually lead to many changes in lifestyle and eating habits, as well as some adverse reactions.

For example oral medication:

Ordinary solid preparations such as tablets and capsules usually need to be disintegrated and dissolved in the gastric acid environment, and then reach the intestinal tract for absorption. However, in the absence of a stomach, they can only be crushed, dissolved in liquid, and swallowed.

Also, there is the problem of swallowing:

For normal people, the stomach can store 2L of liquid, which is partially digested before entering the small intestine, and gradually enters the small intestine in small amounts. After the stomach is missing, all the food directly enters the intestinal tract without any digestion. When the intestinal tract is difficult to accept this kind of eating, not only it becomes difficult to enter the intestinal tract, but also it is more difficult to digest, and the nutrition will also be seriously lost.

In response to this situation, doctors often prescribe some drugs that accelerate bowel movements, and these drugs should be taken 20 minutes before meals.

With so many side effects,

Ms. Amy Chen Meiman still insists on resection.

but,

After gastric sleeve resection,

She finally tasted the pain of a shrinking stomach, and woke up every night with stomach pains, heartburn, feeling like her chest was being burned, and often had the nauseating feeling of vomiting.

She couldn't stand it anymore and regretted it.

She ran to the hospital, wanting to see if the hospital had any good solutions.

She made a special search and found that the gastroenterology department of the Provincial Second Hospital is one of the best in South China, so she came to the hospital, hoping that the doctors here can help solve this problem.

...

...

78 in front of the hospital bed,

Zhou Mo looked at

And the patient in front of me,

A 'beauty' with a weird face.

His face is haggard, his face is pale, and the bags under his eyes are drooping...

"Bed 78, Chen Meiman, right...my name is Zhou Mo, you can call me Dr. Zhou..."

"Hello, Doctor Zhou..."

"Tell me about your condition..."

Patient Chen Meiman said in pain: "Now, I feel the burning pain here, it's very uncomfortable..."

Point to the middle of the breastbone.

Zhou Mo said: "I saw that you had a gastric sleeve resection, right... Your condition should be 'heartburn', which is quite normal, because after food enters the intestinal tract, the human body will start to secrete Digestive juice and bile, which will lead to reflux of digestive juice in the small intestine, and now that the stomach is reduced, gastric juice and digestive juice will easily reflux into the esophagus, eventually leading to inflammation."

The more serious Zhou Mo didn't say,

Patient Chen Meiman: "Doctor, is there any way to help me cure this disease?"

Zhou Mo shook his head: "It's impossible to cure it... Before the operation, the doctor should have told you about the various postoperative complications of this operation... Many of them are unavoidable."

In fact, this operation still depends on the person.

Some people do not have such serious sequelae after surgery.

But after some people have undergone surgery, it is almost like torture.

In addition, its weight loss effect also depends on the individual. Some people have obvious weight loss effects, while others have mediocre effects.

Patient Chen Meiman had a painful expression on her face: "But it's really hard. I often wake up from the pain, and I don't feel well during the day..."

At this time she regretted it very much.

She wanted to lose weight, but now she is fine, and the weight loss effect has been achieved. She has lost a full 30 catties in 2 months, and she has successfully dropped from 120 catties to a slim figure of 90 catties.

However, this discomfort really made her want to collapse.

Zhou Mo thought for a while, and said: "When you have heartburn, you can eat some warm drinks, or snacks and biscuits, so that it can neutralize it... If necessary, I can prescribe you a medicine to relieve gallstones. Take it 20 minutes after the main meal, and take it before going to bed, so it will be more comfortable..."

As for whether there is a 'radical cure', Zhou Mo has no experience in this area yet.

You need to review the papers to see if there is any relevant research at home and abroad.

Patient Chen Meiman: "Also, doctor, after my operation, I always feel full in the upper abdomen. I vomit after eating a little, and I vomit after eating a little. After the vomiting is over, it is temporarily relieved, but vomiting occurs again later..."

Zhou Mo asked: "When you are hungry, does this happen?"

Patient Chen Meiman shook her head: "No."

Zhou Mo: "How many days after the operation did it appear?"

Chen Meiman: "About a week..."

Zhou Mo concluded: "That should be "gastric paralysis syndrome". "

The patient's timing and symptoms are very similar to those of "gastroparesis syndrome".

Chen Meiman asked curiously: "What is "gastroparesis syndrome"? "

Zhou Mo asked: "I took a look at the operation you performed, it was a "gastric sleeve resection", right? "

Chen Meiman: "Yes."

Zhou Mo explained: "The distal part of the stomach is the part that secretes excitatory hormones such as gastrin and motilin. "Gastric sleeve resection" will remove part of the distal part. These hormones are reduced or reduced. "Gastric emptying function" It will subside, and then "gastroparesis syndrome" will appear. "

In fact, the reason is more than this, it may also be the destruction of normal physiological and anatomical structure, vagus nerve injury, surgical stress, mental stress, contusion of gastric wall tissue, poor anastomosis technique, suture thread reaction...etc, all of which may cause gastroparesis syndrome sign.

Because there are too many factors, it will lead to many complications of this operation.

...

The symptoms of this patient are quite serious.

She wants to heal, which is impossible.

Zhou Mo only tried his best to check the literature at home and abroad to see if there was any way to alleviate the patient's symptoms.

Back to the duty room,

"Brother Mo!"

Huang Yiming slipped a chair to Zhou Mo's side.

"how?"

"Just now the department issued a notice. Next week, our department will hold a New Year's Eve dinner. Each group has to apply for 3 programs... Do you want to perform on stage?"

When Zhou Mo heard this, he quickly waved his hands: "I don't want to!"

Performing on stage for New Year's Eve dinner?

What a joke.

I'd better stay quietly and eat at the table in the back.

.