For people who love foods, eating delicious food freely is really a pleasure. But some people have lost such happiness, and it is even have difficult to eat normally……
Recently,Mr.Jiang from Jiangxi came to Shanghai Tongji Hospital for medical treatment.About three years ago,he found that every time he ate a little faster,his throat would choke. This situation is even more obvious when eating some hard food. Later,what he eat will even vomit directly.
This symptom became more and more serious later.Until later on,he could only swallow one grain of rice at a time,and sometimes there was severe pain in his chest. Mr. Jiang's weight also dropped from about 75 kilograms to 60 kilograms.
In order to solve the problem of "difficulty eating", Mr. Jiang sought medical treatment everywhere. After the hospital examination, it was found that the food Mr. Jiang ate did not enter the stomach along the esophagus at all, but was blocked in the esophagus!
That's why Mr. Jiang developed symptoms such as food reflux and choked throat. This has also led to the obvious expansion of Mr. Jiang's esophage tube under the pressure of food.
Why did this situation happen?
Professor Shuchang Xu, Secretary of the Party Committee and Chief Physician of the Department of Gastroenterology at Tongji Hospital in Shanghai,carefully conducted gastroscopy and gastroesophageal pressure tests for Mr. Jiang.
After examination, it was found that the patient's sphincter at the cardia could not relax properly,causing food to be blocked by the "door god" when it reaches the cardia through the esophagus.Many foods will be "rejected" and accumulate in the esophagus.At the same time, due to esophageal dilation,the esophagus cannot move normally and cannot deliver food into the stomach.
The official name of this disease is achalasia. Although the incidence rate is not very high,it will bring great pain to patients.The most direct impact is that eating becomes a very difficult task.
Some patients even need to eat a meal for about three hours before the food they eat can gradually reach their stomach; Some patients have to rely on liquid food to maintain their nutritional supply,so patients with this disease often lose weight, and the cause of this disease is currently unclear.
In order to allow Mr.Jiang to eat normally, medical experts from Shanghai Tongji Hospital and Professor Xu Shuchang worked together to study the treatment plan.
Currently, there are several main methods for treating achalasia,the first is to use drugs to relax the sphincter muscle of the patient's cardia,but the effect of this therapy is not good; the second is to perform cardia dilation under gastroscopy,but this treatment method can only solve short-term problems;the third is to inject botulinum toxin into the cardia sphincter under endoscopy,but this method also treats the symptoms but not the root cause.
Finally, medical experts from Tongji Hospital in Shanghai decided to perform Preoral endoscopic myotomy to help Mr. Jiang completely get rid of his troubles.
Preoral endoscopic myotomy also called "POEM".The operating method of this surgery is to first make a small incision at the mucosal site of the gastroesophageal wall, and then drill an endoscope under the mucosa.Through this "tunnel",the endoscope finds the muscle that is too thick at the cardia,cuts open this part of the muscle,and completely relaxes the esophageal sphincter.This can fundamentally solve the problem of achalasia of the cardia.
After about an hour of surgery, Mr. Jiang's muscle at the cardia was successfully cut open.On the other hand, due to the fact that POEM surgery is performed through endoscopy,the trauma to the patient is very minimal.Mr. Jiang can drink water within 24 hours and resume a normal diet in about a week.
From Red Star News
Post time: Apr-22-2024