Chapter 203 Serious sequelae of gastrectomy

Chen Meiman,

A very beautiful girl.

What manicure and hairdressing are basic exercises.

2 years ago, I started to use a knife in my chest to increase.

A year ago, I felt that it was not enough, so I started to use knives on my face, rhinoplasty, and chin pads.

Then,

She was a little stunned and felt that she was not slim enough. Then, under the popular science of ‘weight loss girlfriends’, she learned about weight loss tea, roundworms, gastrectomy… and other ways to lose weight.

After trying the weight loss tea, she felt that the roundworms were too disgusting, so she decided to take it – to remove part of the stomach.

for the purpose of losing weight.

So, 2 months ago, after communicating with the hospital many times, she performed a “gastric sleeve resection”.

(surgery map)

That’s right,

Part of the stomach can be cut off, or even all of it.

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

Generally, only stomach cancer, or a large wound in the stomach, cannot be sutured…

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

However, the side effects of gastrectomy are not small, usually leading 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, but in the absence of the stomach, they can only be crushed, dissolved in liquid, and then swallowed.

Also, there is the problem of swallowing:

For a normal person, the stomach can hold 2 liters 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, the food directly enters the intestinal tract without any digestion. When the intestinal tract cannot accept this kind of food, it will not only become difficult to enter the intestinal tract, but also more difficult to digest, and nutrients will be lost seriously.

In response to this situation, doctors often prescribe some drugs to 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 excision surgery.

but,

After gastric sleeve resection,

She finally tasted the pain of a shrinking stomach. She woke up in the middle of the night with stomach pains and then had a heartburn. She felt like her chest was burning, and she often felt nausea like vomiting.

She couldn’t stand it anymore and regretted it.

She ran to the hospital to see if the hospital had any good methods.

She made a special check and found that the Gastroenterology Department of the Second Provincial Hospital is one of the best in South China, so she came to the hospital and hoped that the doctors here could help solve this problem.

…

…

78 in front of the bed,

Zhou Mo looked at

And the patient in front of me,

A ‘beauty’ who feels a little weird in her face.

His face was haggard, his face was pale, his eyes were drooping…

“78 beds, Chen Meiman, right… My name is Zhou Mo, you can call me Doctor Zhou…”

“Hello Doctor Zhou…”

“Tell me about your condition…”

The patient, Chen Meiman, said in pain: “I feel like I’m burning hot right now, and it’s very uncomfortable…”

Point to the middle of the sternum.

Zhou Mo said: “I saw that you had a gastric sleeve resection, right… Your condition should be ‘heartburn’, which is a normal phenomenon, because after the food enters the intestine, the body will start to secrete Digestive juices and bile, which can cause reflux of digestive juices in the small intestine, and now that the stomach is reduced, gastric juices and digestive juices can easily reflux into the esophagus, which eventually leads to inflammation.”

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… Before the operation, the doctor should have told you about the various postoperative complications of this operation… Many of them are unavoidable.”

In fact, the operation still depends on the person.

Some people do not have such serious sequelae after surgery.

But after some people have surgery, it’s like torture.

Also, its weight loss effect also depends on the individual. Some people have obvious weight loss effects, and some have average effects.

Patient Chen Meiman looked in pain: “But it’s really hard. I often wake up in pain, and I’m not in any state during the day…”

At this point she regretted it very much.

She wanted to lose weight. Now, she has achieved the effect of losing weight. She lost 30 pounds in 2 months, and successfully dropped from 120 pounds to a slender figure of 90 pounds.

However, this uncomfortable feeling 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 you can neutralize it… If necessary, I can give you a prescription for leucorrhea and bile acid. Take it 20 minutes after the main meal, and before going to bed, so that it is more comfortable…”

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

You need to brush up on the paper to see if there is any relevant research at home and abroad.

Patient Chen Meiman: “Also, doctor, after the operation, I always feel very full in my upper abdomen. I vomit after eating a little, and I vomit after eating a little. The vomiting is relieved temporarily, but I vomit again later…”

Zhou Mo asked, “Does this happen when I’m hungry?”

Patient Chen Meiman shook his head: “No.”

Zhou Mo: “How many days after the surgery did it appear?”

Chen Meiman: “About a week…”

Zhou Mo concluded: “That should be “gastroparesis syndrome”. ”

The patient’s time and symptoms are very similar to the characteristics of “gastroparesis syndrome”.

Chen Meiman asked curiously, “What is “gastroparesis syndrome”? ”

Zhou Mo asked, “I took a look at the operation you performed, and it was a “stomach sleeve resection”, right? ”

Chen Meiman: “Yes.”

Zhou Mo explained: “The distal part of the stomach is the part where excitatory hormones such as gastrin and motilin are secreted. The “sleeve resection” will remove part of the distal part. If these hormones are reduced or are small, the “gastric emptying function” It will decrease, and then there will be “gastroparesis syndrome”. ”

In fact, the reason is not only 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 reaction… etc., which may cause gastroparesis syndrome sign.

There are many factors that lead to the complications of this surgery.

…

The patient’s symptoms are still quite serious.

She wants to be cured, which is impossible.

Zhou Mo only tried his best to check domestic and foreign literature to see if there was any way to relieve the patient’s symptoms.

back to the duty room,

“Mexico!”

Huang Yiming came to Zhou Mo with a sliding chair~www.readmtl.com~ what? ”

“The department just issued a notice that next week, our department will have a New Year’s Eve dinner, and each group will have to report 3 programs… Do you want to perform on stage?”

When Zhou Mo heard this, he quickly waved his hand: “I don’t want to, I don’t want to!”

New Year’s Eve dinner show?

What a joke.

I’d better stay quietly at the back table to eat.

.