The Surgeon's Studio
1470 The stone in the stomach
"What is it?" Su Yun asked after Zheng Ren hung up the phone.
"A patient has a large gallstone in his stomach. He failed to break the stone in the laparoscope and was transferred to another surgery." "Old he is preparing the anesthesia, he's going to take a look," Zheng Ren said.
Gastric stones? Su Yun's interest was piqued.
Of course, he also knew that he and Zheng Ren were not going to have a surgery.
It was just taking something out of the stomach. It was estimated that even a professor at Feng Jianguo's level would not go on stage. It would definitely be taken out by a random doctor brought by the chief resident of the gastrointestinal department.
Although the surgery was very simple, it was very rare to see a large gallstone in the stomach.
Gastric stones were stone - like masses that formed in the stomach after eating certain substances.
They were mostly round or oval in shape, with varying sizes. The small ones were like ping pong balls, while the big ones were like baby heads.
According to the different components, it could be divided into three types: plant - based, hairy - Type, and mixed - Type. The most common clinical occurrence was plant - based gastric gallstones.
The patient with the long - haired princess disease he had encountered in Haicheng had intestinal gallstones. The hair she ate passed through the pylorus and entered the colon.
If they couldn 't, they would form gallstones in their stomach.
Kidney stones and gallstones were the most common, but gastrointestinal stones were relatively rare. A huge stone was even rarer.
Old he felt that it was a fresh experience, so he asked Zheng Ren and Su Yun to join in the fun.
This could be considered as playing to his liking.
Su Yun was very pleased with old he's actions.
Gastric stones could be classified as one of three types, but they were mainly plant - based. The cause was very simple, and most of them were caused by eating too many persimmons.
This disease was also known as the stomach stone disease.
It was very awkward - sounding, similar to the speed recital of a crosstalk actor.
In persimmons or black dates, there was something called tan. In unripe persimmons, it could be as high as 20%.
When people ate raw persimmons, their tongues would feel bitter, which was the tan.
In addition, persimmons also contained gum and pecks.
After people ate unripe persimmons, under the effect of stomach acid, the tanned substance could combine with protein to form a insoluble gluten.
The protein was deposited in the stomach, and the protein, resin, and pecs could stick the persimmon core and vegetable fiber together, forming the stomach persimmon stone in the stomach.
That was what he said, but to eat a large amount of raw persimmons ... How much love did this person have for raw persimmons?
Therefore, Zheng Ren had only seen similar cases in books and had never seen it with his own eyes.
Seeing was believing, and all doctors had this little quirk. When they encountered a rare illness, they would go to see it no matter what.
As they walked towards the operating room, Su Yun received a message from Quan xiaocao, saying that there was a patient with gastric gallstones.
"How's Xiao Cao's thesis coming along?" Zheng Ren asked.
"The case report using abdominal calluses has been mailed to the lancets magazine." Su Yun replied,"I've contacted them. There should be no problem."
"This child is quite lucky. She hasn't graduated yet, but she already has an SCI paper in the lancets. It's enough for her to graduate three or five times." Zheng Ren chuckled.
"I didn't add your name." Su Yun casually said.
Zheng Ren waved his hand. It did not matter.
For the Nobel Prize candidates, the lancets and new England were all fleeting clouds.
Besides, Zheng Ren didn't need the influence factors of these magazines to make himself look better.
In terms of impact factor, the number that jumped every day in the third phase of the [worldfame] mission was the real impact factor.
And the live broadcast of every surgery in Xing Lin garden was also the most realistic impact factor.
However, this kind of influence was not something that others had, and Zheng Ren did not want to use a certain number to measure it.
To him, all of this was meaningless.
If he had the time, it would be good to perform two more surgeries. Or, it would be better for him to watch the surgery for gastric gallstones than to calculate these things.
When they arrived at the operating room, Zheng Ren politely greeted the lady who was guarding the door and took the keys to change his clothes.
After leaving one operating room, they entered another.
This was the problem for doctors who had to work in other fields.
When she entered the changing room, she saw director Wei putting on her stockings.
Every time he saw an old man with an unkempt beard and white hair sitting on a chair and wearing silk stockings bit by bit, Zheng Ren would have a feeling of a realistic magic.
"Director Wei, why are you here?" Su Yun stepped forward to greet him.
"This is the thirteenth case of gastric stones that I've encountered. I'll take a look at the surgery and leave some information behind. It'll be something to remember in the future. " Chief Wei said with a smile.
"Thirteen cases! You've seen so many. " Zheng Ren was surprised.
However, when he thought about it, it made sense. After all, director Wei was the director of the gastrointestinal surgery department of a large tertiary Grade A hospital in Beijing. He had seen countless patients in his life.
Thirteen cases was not considered a lot.
"It's not too bad. This rare disease has always been solved with surgery in the past. Ever since they became more familiar with laparoscopy, they all use the method of endoscopies. It's very difficult to see it in the surgery department. " Chief Wei sighed.
The Department of Gastrointestinal Surgery also faced the pressure of minimally invasive surgeries in the laparoscope room.
It was just that the progress was slow, and the risk of surgery was higher, so the stomach and intestines were relatively easier to do.
The best job was orthopedic surgery.
Hip replacement surgery, hip joint Surgery, and knee replacement surgery were all replacement surgeries. This was not a minimally invasive surgery ... It could be completed with the current available minimally invasive surgery.
"Have you tried the laparoscope?" Zheng Ren asked.
"Yes, use a gravel lasso to cover the stones under the lens. However, the stone is too slippery, like a stone covered in moss, so I can't use any strength at all. " "Later on, director Luo gave me a call and transferred the case to us for gastrointestinal surgery," director Wei said.
After a pause, chief physician Wei said,"the laparoscope is a waste of time, and surgery is still needed to solve it."
Zheng Ren smiled. He did not want to get involved in such a dispute. Previously, when fan Tianshui's old squad leader had performed an emergency surgery, director Wei had probably been very unhappy.
This sentence was directed at him.
It was just that he did a good job in the surgery, so chief physician Wei could not vent his anger at all. He could only vent it on the laparoscope.
"How big is the stone?" Su Yun could also hear the slight dissatisfaction in director Wei's words and immediately changed the topic.
"Estimated to be 8x10cm." Chief Wei said.
"Damn, that big! What's the patient's medical history?" Su Yun was shocked.
8x10cm was not small. It was in the stomach and could be found even by a physical examination.
"I'm a migrant worker. I don't have much money. I usually like to drink a few mouthfuls." "He didn't have the money to buy the dishes with wine, so he bought some Hawthorn, cut them into pieces, and dried them to make the dishes with wine," chief Wei said.
"..." Zheng Ren sighed.
Eating persimmons and Hawthorn on an empty stomach after drinking alcohol was more likely to form stomach stones.
This was because ethanol could accelerate the solidification of protein. The higher the alcohol content, the easier it was to form gastric stones, and the formation speed was particularly fast.
He glanced at Su Yun.
"Don't look at me, you always rely on drinking!" Su Yun was furious.
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