"What's the matter?" Su Yun asked when he saw Zheng Ren hung up the phone.
"A patient had a huge gastric calculus, and the endoscopic lithotripsy failed, so he was transferred to surgery." Zheng Ren said, "Lao He is preparing to go under anesthesia and take a look."
Stomach stones? Su Yun also became interested.
Of course, he also knew that when he and Zheng Ren went to have a look, it was not for surgery.
It was just something that was taken out of the stomach. It is estimated that no professor of Feng Jianguo's level would come on stage. It must have been taken out by a gastrointestinal resident who just brought a doctor to perform an operation.
Although the surgery is simple, huge gastric stones are particularly rare.
Stomach stones are stone masses that form in the stomach after eating certain substances.
The shape is mostly round or oval, with different sizes, ranging from small ones like table tennis balls to large ones like baby heads.
According to their different components, they can be divided into three types: plant-based, hair-based and mixed. The most common clinically is plant-based gastric stones.
The Rapunzel disease patients I met in Haicheng once had intestinal stones. The hair she ate passed through the pylorus and entered the colon.
If it cannot pass, stones will form in the stomach.
Kidney stones and gallstones are the most common, while gastrointestinal stones are relatively rare. And huge stones are even rarer.
Lao He just felt it was new and went to Zheng Ren and Su Yun to watch the fun.
This can be regarded as a good choice.
Su Yun expressed his approval of Lao He's move.
There are three possible types of gastric stones, but they are mainly plant-based. Even the cause is very simple—most of them are caused by eating too many persimmons.
This disease is also called gastric persimmon stone disease.
It's very awkward, almost like a crosstalk actor's.
Persimmons or black dates contain something called tannin, and the content in immature persimmons can be as high as 20%.
When people eat raw persimmons, their tongues feel astringent, which is caused by tannins.
In addition, persimmons also contain gum and pectin.
After people eat immature persimmons, the tannins can combine with proteins under the action of gastric acid to form tannic acid proteins that are not easily soluble in water.
Tannic acid protein precipitates in the stomach, and tannic acid protein, gum, and pectin can bind persimmon cores and vegetable plant fibers together, forming gastric persimmon stones in the stomach.
That being said, but you have to eat a lot of raw persimmons... How much does this person have to love raw persimmons
Therefore, Zheng Ren only saw similar cases in books and never saw them with his own eyes.
Seeing is believing, doctors all have this little quirk. When you encounter a rare disease, it’s called a close friend, and you should go and check it out no matter what.
Walking to the operating room, Su Yun also received a message from Quan Xiaocao, saying that there was a patient with stomach stones.
"How is the paper on Xiaocao's side?" Zheng Ren asked.
"The case report on abdominal cocoon syndrome has been sent to the Lancet magazine by mail." Su Yundao said, "I have contacted them, it should be fine."
"This child is very lucky. Before she graduates, she already has an SCI from The Lancet in her hand, which is enough for her to graduate with a Ph.D. three or five times." Zheng Ren said with a smile.
"I didn't add your name." Su Yun said casually.
Zheng Ren waved his hand, it didn't matter.
For Nobel Prize candidates, "The Lancet" and "New England" are just clouds.
Besides, Zheng Ren now doesn't need the impact factors of these magazines to add glory to himself.
When it comes to impact factors, the number that beats every day in the third phase of the mission to become famous all over the world is the absolute impact factor.
The live broadcast of every Xinglinyuan surgery is also the most real influencing factor.
It's just that this kind of influence is not possessed by others, and Zheng Ren doesn't want to quantify it with a certain number.
To him, these made no sense at all.
If you have that time, it would be good to do two more surgeries. Or, looking at the surgery for stomach stones is better than calculating these.
Arriving at the operating room, Zheng Ren greeted the janitor politely and took the key to change clothes.
After leaving one operating room, he entered another operating room.
This is the dilemma for doctors across disciplines.
Entering the dressing room, I saw Director Wei putting on stockings.
Every time he sees an old man with unshaven beard and gray hair sitting on a chair and wearing stockings, Zheng Ren will have a feeling of realistic magic.
"Director Wei, why are you here too?" Su Yun stepped forward to say hello.
"Stomach stones, this is the 13th case I have encountered. Let's take a look at the operation and leave some information. It will be something I will keep in mind in the future." Director Wei said with a smile.
"13 cases! You have seen so many." Zheng Ren was surprised.
But think about it, after all, Director Wei is the director of gastrointestinal surgery at a large tertiary hospital in the capital, and has seen countless patients in his life.
I encountered 13 cases, which is really not a lot.
"Fortunately, this rare disease has always been solved by surgery in the past. Since the maturity of laparoscopy, they have adopted endoscopic lithotripsy. It is very difficult to see it in surgery." Director Wei sighed.
Gastrointestinal surgery is also facing the pressure of minimally invasive surgery in the laparoscopic room.
It's just that the progress on that side is slow and the risk of surgery is higher, so the gastrointestinal side is relatively easy to dry.
The best thing to do is orthopedics.
Replacement of femoral heads, hip joints, and knee joints are all replacement surgeries. This is not a minimally invasive surgery... It can be accomplished with existing minimally invasive surgeries.
"Have you tried the endoscopy room?" Zheng Ren asked.
"Well, we used a gravel snare to trap the stones under laparoscopic surgery. But the stones were too slippery, like stones covered with moss, so it didn't take any effort." Director Wei said: "Later, Director Luo gave me an injection. Just a phone call and he will be transferred to our gastrointestinal surgery department."
After a pause, Director Wei arrived: "The endoscopy room is full of work, and we still need surgery to solve it."
Zheng Ren smiled, he didn't want to get involved in this kind of dispute. Director Wei was probably very unhappy when Fan Tianshui's old squad leader underwent ESD surgery.
This sentence is directed at myself.
It's just that he did a good job in surgery, so Director Wei couldn't vent his anger at all and could only vent his anger in the endoscopic room.
"How big is the stone?" Su Yun also heard the slight dissatisfaction in Director Wei's words and immediately changed the subject.
"Estimated 8×10cm." Director Wei said.
"Go ahead, it's so big! What's the patient's medical history?" Su Yun was surprised.
8×10cm, but not too small. It can be felt inside the stomach during physical examination.
"Migrant workers don't have much money, but they usually like to drink a few sips." Director Wei said: "If he doesn't have money to buy food and drinks, he buys some hawthorns, cuts them into slices and dries them to make food with drinks."
"..." Zheng Ren sighed.
Eating persimmons and hawthorns on an empty stomach and then drinking alcohol are more likely to cause stomach stones.
Because ethanol can accelerate the coagulation of proteins, the greater the amount of alcohol consumed and the higher the alcohol content, the easier it is to form gastroliths, and the formation speed is particularly fast.
He glanced at Su Yun.
"Don't look at me, I do everything because of drinking!" Su Yun was furious.