"What's the matter?" Su Yun asked after Zheng Ren hung up the phone.
"A patient has a huge gastric stone. The endoscopy room lithotripsy failed and was transferred to surgery," Zheng Ren said. "Lao He is preparing for anesthesia. Let's go take a look."
Gastric stones? Su Yun was also interested.
Of course, he also knew that he and Zheng Ren went to take a look, not for surgery.
It was just taking something out of the stomach. Even a professor of Feng Jianguo's level would not go on stage. It must be a gastrointestinal department chief resident who brought along a random doctor to do the surgery.
Although the surgery was very simple, large gastric stones were very rare.
Gastric stones are stone-like lumps formed in the stomach after eating a certain substance.
Most of them were round or oval in shape, with the smallest being the size of a ping-pong ball and the largest being the head of a baby.
According to the different composition, it can be divided into three types: vegetative, hairy, and mixed. Vegetative gastric stones are the most common in clinical practice.
The patient with Rapunzel Disease he had encountered in Sea City was suffering from intestinal stones. The hair she ate went through the pylorus and into the colon.
If it doesn't pass, stones will form in the stomach.
Kidney stones and gallstones were the most common, and gastrointestinal stones were relatively rare. Huge stones were even rarer.
Lao He felt that it was new and looked for Zheng Ren and Su Yun to watch the show.
This could be considered as catering to his preferences.
Su Yun expressed his approval of Lao He's actions.
There were three kinds of gastric stones, but they were mainly vegetative, and the cause was very simple — most of them ate too many persimmons.
This disease was also known as gastric persimmon stone disease.
It was very hard to pronounce, similar to the speed recitation of a crosstalk actor.
In persimmons or black dates, there is a substance called tannin. In unripe persimmons, the tannin content can be as high as 20%.
When people eat raw persimmons, their tongues will feel astringent, which is caused by the tannin.
In addition, persimmons also contain gum and pectin.
After eating unripe persimmons, the tannin would combine with the protein to form tannin, which was not soluble in water, under the action of gastric acid.
Tannin precipitates in the stomach, while tannin, gum, and pectin can bind the persimmon core and vegetable fiber together, forming gastric persimmon stones in the stomach.
That being said, to eat a large number of raw persimmons … How much did this person love raw persimmons?
Therefore, Zheng Ren had only read about similar cases in books and had never seen them in person.
Seeing was believing. Doctors all had this little quirk. Whenever they encountered a rare disease, they would go and take a look no matter what.
As he walked towards the operating room, Su Yun also received a message from Quan Xiaocao. She said that there was a patient with gastric stones.
"How's Xiaocao's thesis?" Zheng Ren asked.
"It's a case report using abdominal cocoon. It's been sent to The Lancet," Su Yun said. "I've contacted them. There should be no problem."
"She's quite lucky. She has an SCI paper from The Lancet before she even graduated. It's enough for her to graduate three to five times," Zheng Ren said with a smile.
"I didn't add your name," Su Yun said casually.
Zheng Ren waved his hand. It did not matter.
For the Nobel Prize candidates, "The Lancet" and "New England" were all fleeting clouds.
Moreover, Zheng Ren did not need the influence factor of these magazines to add to his glory.
In terms of impact factor, the number that was jumping every day in the third stage of the mission was the true impact factor.
And every live broadcast of Xinglin Garden's surgery was also the most real impact factor.
However, no one else had this kind of influence, and Zheng Ren did not want to use a certain number to quantify it.
To him, this was meaningless.
If he had the time, it would be good to do two more surgeries. Or, watching the surgery for gastric stones was better than calculating these.
When he arrived at the operating room, Zheng Ren politely greeted the auntie guarding the door and took the key to change his clothes.
After coming out of one operating room, he entered another.
This was the trouble of doctors who crossed disciplines.
When he entered the changing room, he saw Chief Wei putting on his stockings.
Every time he saw an old man with a stubble of beard and gray hair sitting on a chair, putting on his stockings bit by bit, Zheng Ren would have a feeling of reality and fantasy.
"Chief Wei, why are you here too?" Su Yun went forward to greet him.
"Gastric stones. This is the 13th case I've encountered. I'll watch the surgery and leave some information. It'll be a memory in the future, "Chief Wei said with a smile.
"Thirteen cases! You've seen so many. "Zheng Ren was surprised.
However, thinking about it, Chief Wei was the chief of the gastrointestinal surgery department in a large Class Three Grade A Hospital in the Imperial Capital after all. He had seen countless patients in his life.
It was really not a lot to encounter 13 cases.
"Fortunately, this rare disease used to be solved by surgery in the past. Since the development of endoscopy, they have used the method of endoscopic lithotripsy. It's very difficult to see it in the surgery department. "Chief Wei sighed.
The gastrointestinal surgery department was also facing the pressure of minimally invasive surgery in the endoscopy room.
However, the progress there was slow and the surgery risk was higher, so the gastrointestinal surgery was relatively easier to do.
The orthopedics department was the best.
Replacing the femoral head, hip, and knee joints were all replacement surgeries. This was not minimally invasive surgery … It could be done with current minimally invasive surgery.
"Have you tried the endoscopy room?" Zheng Ren asked.
"Yes, under the endoscopy, we used a lithotripsy trap to trap the stones. However, the stones were too slippery, like stones covered in moss. I couldn't use any strength at all, "Chief Wei said. Department Director Wei said, "Later, Department Director Luo gave me a call and transferred it to our gastrointestinal surgery."
After a pause, Chief Wei said, "The endoscopy room is full of tricks. It can only be solved by surgery."
Zheng Ren smiled. He did not want to be involved in this kind of dispute. Chief Wei was probably very unhappy when Fan Tianshui's former class monitor performed ESD surgery.
This sentence was directed at him.
However, he did a good job in the surgery, so Chief Wei could not vent his anger at all. He could only vent his anger on the endoscopy room.
"How big was the stone?" Su Yun could also hear the slight dissatisfaction in Chief Wei's words and immediately changed the topic.
"About 8 × 10 cm," Chief Wei said.
"Damn, that's big! What's the patient's medical history? "Su Yun was surprised.
8 × 10 cm was not small. It could be felt in the stomach during a physical examination.
"He's a migrant worker. He doesn't have much money and usually likes to drink a little," Chief Wei said. "He doesn't have money to buy food with wine, so he bought some hawthorn, cut it into pieces, and dried it to go with wine."
"…" Zheng Ren sighed.
It was easier to form gastric stones after eating persimmons and hawthorn on an empty stomach and drinking alcohol.
This was because alcohol could accelerate the coagulation of proteins. The higher the alcohol content, the easier it was to form gastric stones, and the faster it formed.
He glanced at Su Yun.
"Don't look at me. Everything depends on drinking!" Su Yun was furious.
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