In late October this year, the old man's condition worsened and he vomited frequently. The old man's daughter took her mother to the Department of Gastroenterology, Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University) for treatment, and was hospitalized for treatment due to dysphagia and vomiting.
After being admitted to the hospital, Grandma Zhou felt the meticulous care of the medical staff of the gastroenterology department, which gradually calmed her nervousness. Director Zeng Ya of the Department of Gastroenterology and Deputy Director Shen Yueming of the Department of Gastroenterology through careful inspection, detailed understanding of the medical history, and after improvement, the diagnosis was " achalasia ".
" cardia is located between the esophagus and the stomach of the human body. When swallowing food, the cardia opening will open and then contract, thereby completing normal eating movements. The cardia opening of achalasia patients has continuous spasm and has lost the ability to dilate, just like a 'tight coil' on the esophagus. The food swallowed can only accumulate in the esophagus and cannot enter the stomach. If this continues, the patient will vomit after eating." Director Zeng Ya introduced.
Combining Grandma Zhou's condition and physical tolerance, the medical staff conducted a careful and meticulous evaluation. finally formulated a minimally invasive surgical plan for transoral endoscopic cardiac sphincterotomy. This surgery has the advantages of endoscopic minimally invasive treatment. It has little trauma and fast recovery. You can resume your diet within four or five days and be discharged from the hospital in six days. not only avoids the "pain of opening the stomach", but also saves medical expenses, and retains the normal anatomical structure of the gastroesophageal junction. After the operation, reflux esophagitis has a low incidence.
On the morning of October 28, Deputy Director Shen Yueming led the medical team to perform transoral endoscopic cardiac sphincterotomy on the elderly.
During the operation, an incision surgery was used to establish an inverted T-shaped incision of 2.5 cm long. The mucosal layer was incised longitudinally by gradual incision. After separation of the submucosal layer, the submucosal "tunnel" was established. Then, the annular muscle was incised longitudinally under gastroscopy and direct vision, retaining the longitudinal muscle until 2 cm below the cardia. After stopping the hemostatic, the mucosal layer incision was sealed with a metal clip and titanium clip was clamped in parallel. The operation process went smoothly. The elderly had no symptoms of chest pain and or shortness of breath after the operation. They gradually returned to their diet and the symptoms were currently well controlled.
The day after the operation, Grandma Zhou's mental state was much better and she could eat a liquid diet. It was the 84th birthday of the old man. The department staff sent flowers to wish Grandma a happy birthday and a speedy recovery. A "small" operation solved the chronic disease of more than 30 years. Grandma Zhou held the hands of the director and the head nurse to express her gratitude for a long time.
Shen Yueming, deputy director and chief physician of the Department of Gastroenterology at Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University), said: The clinical manifestations of achalasia are dysphagia, poststernum pain, food reflux, etc. Due to the long-term difficulty in eating , patients often have poor quality of life, mostly accompanied by weight loss, malnutrition, poor resistance, and even tendency to depression.
Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University) Shen Yueming, deputy director and chief physician of the Department of Gastroenterology at Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University), reminds that if citizens are prone to symptoms such as indigestion and slow gastrointestinal motility, they must seek medical treatment in time and make sure to clarify the diagnosis and treatment as soon as possible.
(Editor ZS. Some pictures are from the Internet, delete if infringement)
Hunan Medical Chat Special Author: Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University) Wu Hui Zhu Wenqing
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