Chapter 1469 The Stone in the Stomach

"What's the matter?" Su Yun asked when Zheng Ren hung up the phone.

"A patient had a huge stomach stone, and the endoscopy room failed to crush the stone, so he was transferred to surgery." Zheng Ren said, "Lao He is preparing for anesthesia, so let's take a look."

Stomach stones? Su Yun was also interested.

Of course, he also knew that he and Zheng Ren had a look, not for surgery.

It's just to take something from the stomach. It is estimated that a professor of Feng Jianguo's level will not be in power. It must be a gastrointestinal hospitalization that always takes a doctor to open it and take it out.

Although the operation is simple, huge gastric stones are particularly rare.

Gastric stones are stony lumps that form in the stomach after eating a certain substance.

Most of them are round or oval in shape and vary in size, from small ones like ping-pong balls to big ones like the head of a baby.

According to its different components, it can be divided into three types: vegetable, hairy and mixed, and the most common clinical is vegetable gastrolith.

The patient with Rapunzel's disease that I met in Haicheng before was a bowel stone. The hair she ate passed through the pylorus and into the colon.

If it fails, stones will form in the stomach.

Kidney stones and gallstones are the most common, and gastrointestinal stones are relatively rare. And huge stones are even rarer.

Lao He just felt fresh, so he went to Zheng Ren and Su Yun to watch the fun.

This is also a good bet.

Su Yun applauded Lao He's move.

There are three possible types of stomach stones, but they are mainly plant-based, and even the cause is very simple - most of them eat too many persimmons.

This disease is also called stomach persimmon stone disease.

It's a mouthful, almost the same as a cross talk actor's mouth.

There is something called tannin in persimmons or black dates, which can be as high as 20% in immature persimmons.

When people eat raw persimmons, the tongue feels astringent, which is caused by tannins.

In addition, persimmons also contain gum and pectin.

After people eat unripe persimmons, under the action of gastric acid, tannin can combine with protein to form tannin protein that is not easily soluble in water.

Tannin protein is precipitated in the stomach, and tannin protein, gum, and pectin can bind persimmon core and vegetable fiber together, and gastric persimmon stone can be formed in the stomach.

That being said, but eat a lot of raw persimmons...how much does this person have to love jerky persimmons?

So Zheng Ren only saw similar cases in books, but never saw it with his own eyes.

Seeing is believing, doctors have this little quirk. When encountering a rare disease, it is called a parent, and you have to go and see everything.

Going to the operating room, Su Yun also received a message from Quan Xiaocao that he was a patient with a stomach stone.

"How's the paper on Xiaocao's side?" Zheng Ren asked.

"The case report on abdominal cocoon was mailed to The Lancet." Su Yun said, "I have contacted that side, and it should be fine."

"This child is lucky. Before graduating, she has an SCI of The Lancet in her hand, which is enough for her to graduate three or five times with a doctorate." Zheng Ren said with a smile.

"I didn't add your name." Su Yun said casually.

Zheng Ren waved his hand, it doesn't matter.

For Nobel Prize candidates, "The Lancet" and "New England" are all clouds.

Besides, Zheng Ren doesn't need the impact factor of these journals to add luster to himself now.

In terms of impact factor, the number that is beating every day in the third stage of the mission of Famous World is the complete impact factor.

And every live broadcast of Xinglinyuan surgery is also the most real impact factor.

It's just that others don't have this kind of influence, and Zheng Ren doesn't want to use a certain number to quantify it.

To him, it didn't make any sense at all.

When there is time, it is good to do two more operations. Or, it's better to look at surgery for stomach stones than to count them.

When he came to the operating room, Zheng Ren politely greeted the aunt who was the doorman, and took the key to change his clothes.

Out of one operating room, and then into another operating room.

Such is the distress of doctors across disciplines.

When I entered the locker room, I saw Director Wei wearing stockings.

Every time he sees an old man with unshaven beard and gray hair sitting on a chair wearing silk stockings, Zheng Ren will have a feeling of realistic magicism.

"Director Wei, why are you here?" Su Yun stepped forward to greet him.

"Stomach stones, this is the 13th case I have encountered. Watch the operation and leave the information by the way. It will also be a thought in the future." Director Wei said with a smile.

"13 cases! You have seen so many." Zheng Ren was surprised.

But think about it, Director Wei is the director of the Gastrointestinal Surgery Department of a large tertiary hospital in the Imperial Capital after all, and he has seen many patients in his life.

Encountered 13 cases, which is really not a lot.

"Fortunately, this rare disease was solved by surgery in the past. Since the endoscopy has matured, they have all adopted the method of endoscopic lithotripsy. It is difficult to see it in surgery." Director Wei sighed.

Gastrointestinal surgery is also facing the pressure of minimally invasive surgery in the endoscopic room.

It's just that the progress on that side is slow and the risk of surgery is higher, so the gastrointestinal tract is relatively dry.

The best thing to do is orthopedics.

Replacing the femoral head, hip joint, and knee joint is all replacement surgery. This is not a minimally invasive surgery... It can be done with existing minimally invasive surgery.

"Have you tried the endoscopy room?" Zheng Ren asked.

"Well, under the endoscope, a stone trap was used to cover the stone. But the stone was too slippery, like a stone covered with moss, and it took no effort at all." Director Wei replied: "Then Director Luo called me. Just a call, and it will be transferred to our gastrointestinal surgery."

After a pause, Director Wei said: "The endoscopy room is all labor, and it still needs surgery to solve it."

Zheng Ren smiled, he didn't want to participate in this kind of dispute. Fan Tianshui's old monitor had an ESD operation, which probably made Director Wei very unhappy.

This sentence is directed at himself.

It's just that he did a good surgical operation, so Director Wei couldn't vent at all, so he could only use the endoscopy room to let out his breath.

"How big is the rock?" Su Yun also heard the slight resentment in Director Wei's words, and immediately changed the subject.

"It is estimated that it is 8 × 10 cm." Director Wei said.

"I'm going, it's so big! What's the patient's medical history?" Su Yun was surprised.

8×10cm, but not too small. In the stomach, physical examination can be felt.

"For migrant workers, they don't have much money, so they usually like to drink a couple of sips." Director Wei said, "If he has no money to buy food, he buys some hawthorn, cut it into slices and sun-dried it for snacks."

"..." Zheng Ren sighed.

Eating persimmon and hawthorn on an empty stomach is more likely to form gastric stones after drinking alcohol.

Because ethanol can accelerate the coagulation of protein, the more alcohol you drink, the easier it is to form gastroliths, and the formation speed is particularly fast.

He glanced at Su Yun.

"Don't look at me, everything depends on drinking!" Su Yun was furious.