Ma Xiaona was making a medical statement on the podium, and the doctors below were all busy taking notes.

When they heard that a small case of gastroesophageal reflux disease had such serious consequences, everyone was shocked.

Then each of them asked themselves, what would they do if they encountered such a patient? How would they diagnose it? Then many doctors discovered that they might be worse off.

Especially the surgical directors who were clamoring before, all of them looked gloomy.

A patient involves the digestive system, respiratory system, immune system, facial features system, nervous system, etc., where to start?

Why are surgeons called rough men and orthopedic surgeons called carpenters? The reason is that these surgeons rarely think about why this disease is caused? What is the pathophysiology?

They use simple and crude methods to treat patients, treating headaches and cutting off the feet.

If a surgeon is thinking about the cause of disease and pathology, then this doctor has the potential to become a famous doctor, such as a certain president named Chen.

The doctors in the audience now admired the young Dr. Chen very much. He was able to diagnose such a complex disease, and he really lived up to his reputation as a miracle doctor.

But it was obvious that Dean Chen was unwilling to let them go and let go of this opportunity to attack people.

"Everyone has heard Dr. Ma's case report, and the answer to the mystery has been revealed. Now the question is, how should we treat this case of refractory gastroesophageal reflux disease?

Director Jin Peilin, Director Yan Chengzhi, Director Liu Chuanpin, and Director Shen Zhemin of the Department of Surgery are all here today, right? Well, I saw it. I would like to ask these surgical directors to talk first. I will transfer this patient to you.

Surgery, how are you going to treat me?"

Being named by Chen Qi in this way, the surgical directors were all embarrassed, and all of them began to shrink their necks.

Jin Peilin was the oldest and the oldest, so he was pushed out by several other directors:

"Lao Jin, come on!"

"That's right, Lao Jin, you are senior, hurry up and help us fight to defeat the dean."

Jin Peilin really wanted to squirt these bastards to death with a mouthful of salt soda, but he had no choice, because he was the one who took the lead in making the noise.

Jin Peilin stood up, took the microphone and thought for a while:

"Well, since the problem is in the stomach and there are so many complications caused by the gastric contents, then we can simply completely cut off the stomach. The stomach will be gone, and the stomach contents will be gone, and the root cause will be solved.

Haha."

Several surgical directors nearby also laughed with them:

"Yes, yes, stomach incision, we are expert at this."

"After gastrectomy, the root cause is cured, and only our surgical department can handle it."

Other surgeons also agreed with this treatment method. Only a few surgeons blushed, including young doctors like Lu Yuehua.

Lao Guo and Zhu Huoyan shook their heads after hearing this.

As expected, the surgeon's suggestion was immediately booed as soon as it was proposed.

Jia Liangcai, director of the Department of Internal Medicine, was the first to fire.

"Lao Jin, are you kidding? Let's not talk about the other side effects of total gastrectomy. As far as this patient is concerned, it is because of gastroesophageal reflux that he suffered so many complications and caused so many adverse consequences.<

/p>

If you cut off your stomach and lose the two switches, the cardia and the pylorus, the small intestine will be directly connected to the esophagus, and the contents of your stomach will be gone. But without the two switches, the intestinal contents and digestive juices will flow unchecked.

Reflux.

Think about it, everyone, after total gastric resection, not only is the reflux disease not resolved, but it will become more and more severe. My dear, when the patient comes to treat the disease, not only is the disease not cured, but the stomach is also cut, why don't you file a lawsuit with us?

That’s weird.”

Hehehe·~~~

All the physicians in the venue burst into laughter. It was a rare opportunity to attack the tough surgical men, and they would definitely spare no effort.

"Director Jia is right, teach surgery a lesson..."

"Surgeons know how to cut and cut, but they don't care whether the cut is correct or not. They are really a bunch of reckless people..."

"How can a total gastrectomy be so simple? How many years can the patient live by then?..."

Indeed, total gastrectomy will not only aggravate esophageal reflux disease, but in fact have other serious consequences that cannot be ignored at all.

The stomach has the functions of storage, digestion, and transportation. When a person's stomach is completely removed, food cannot be decomposed and digested by gastric acid and reaches the intestinal tract directly, which will affect the body's absorption of food nutrients.

It is easy for the body to lack nutrition, leading to low immunity, inducing iron deficiency anemia and osteoporosis.

In addition, the stomach is an important digestive organ of the human body. Total removal of a person's stomach will reduce the digestive function and cause digestive dysfunction, which can easily cause indigestion and gastrointestinal diseases, resulting in symptoms of chronic diarrhea, abdominal pain, and loss of appetite.

The most important thing is that if a person's stomach is completely removed, it will affect the body's digestion and absorption of nutrients, causing the body to gradually lose weight.

At that point, you will only be able to eat semi-liquid or liquid food for the rest of your life.

Although there are reports in the literature that patients with total gastrectomy live up to 20 years, this is only a small number of people.

In fact, the 5-year survival rate of most patients with total gastrectomy is only 20%, which means that 4 out of 5 patients will not survive 5 years.

Therefore, total gastrectomy is generally limited to gastric tumors with relatively high malignancy, large size, and wide range, and is a no-op solution.

After the physician explained this, they coaxed Jin Peilin to the fire and roasted him. The little old man blushed, turned his head and started to act rogue.

"Old Jia, since you said that our surgery plan is wrong, then tell us how your internal medicine treatment is done? Let us learn from it."

"Yes, Director Jin said it well, please ask the physician to help us answer our questions..."

"The internal medicine department knows nothing, and can only talk nonsense. It says one thing, but accomplishes nothing in practice..."

"Director Jia, you are really telling me that patients can be admitted to your internal medicine department now. How are your internal medicine departments going to treat them?..."

Now it was the surgeons' turn to start making noises, and then Jia Liang realized that he was breaking out in a cold sweat. It was fine now. The hole he dug was about to bury himself.

"Well, for this, we still need symptomatic treatment, such as antacid, promoting gastric motility, regulating gastrointestinal flora, and anti-inflammatory and anti-infective treatment..."

Jin Peilin chuckled and asked:

"That person just now said on the stage that this patient has been treated in your internal medicine department for more than a week. He has taken all kinds of medicines, including a double dose of the foreign omeprazole. As a result, his condition has not improved at all. This is of no use.

Wrong?

What's wrong with Lao Jia, do you dare to think that your internal medicine department is all about bragging? You can't cure the disease yourself and you still laugh at others. I think it's better to come to our surgery and give it a try. Maybe a lot of force can work wonders, don't you think?"

"Yes~~~~"

The surgeons booed one after another, and then the whole audience burst into laughter. Even Director Zhu was sitting there with a smile and a relaxed expression.

Lao Guo looked back at these old subordinates and laughed and cursed:

"Damn it, you guys can't cure this disease. You're the first to tease me."

Lan Lijuan sat in the audience, and she couldn't save her face. After all, this patient was taken over by their internal medicine department. After a long time of treatment, not only was there no effect, but she even found the cause of the disease after asking her husband for help.

She had to admit that there were still shortcomings in the internal medicine department and her overall personal level, and there was still a big gap between the level of the top internal medicine departments.

Chen Qi sat on the rostrum, looking at the surgeons and surgeons "attacking" each other below, and he was also happy to see the results.

Seeing that everyone was almost noisy, he knocked on the table to signal everyone to quiet down.

"Just now, the surgeons represented by Director Jin and the physicians represented by Director Jia have all proposed their own treatment plans, but it is very regrettable that none of them is feasible and effective. I think we all have no objection to this.

Right?

What does this mean? Does it mean that the doctors at the Vietnam-China People's Hospital are so poor? They can't even cure a stomach problem. Or does it mean that the disease itself is a terminal illness with no cure, so we should simply give up and let the patients die at home?

”

As soon as Chen Qi finished speaking, the doctors in the audience lowered their heads in shame, and even Lao Guo blushed.

Because he thought about it for a long time and found that if he were the attending doctor, he seemed to have nothing to do. He would really let the patient leave the hospital early and wait for the dinner to start.

Seeing that the atmosphere was almost settled, Chen Qi slowly spoke.

"Actually, there is another possibility. It is that the knowledge we have learned before is outdated and backward, and it should be eliminated. International medicine is making rapid progress, but our country is still stuck in its ways. If we fall behind, we will be beaten, comrades."

Chen Qi picked up a teaching book on "Internal Medicine" and said to the hundreds of doctors in the audience:

"I gave the final diagnosis of this disease as refractory gastroesophageal reflux disease, but this disease does not appear in our latest domestic textbooks, and there is no such knowledge point, which shows that this is a brand new disease.

Although this is a possible new disease, we already know the cause and are familiar with the anatomy. So think about it, the treatment idea is actually very simple. Since the switch of Huimen is loose, then we can treat it.

Target the cardia.

Don’t think about total gastric resection. This is not considered at all. The patient’s stomach is fine. Why did you cut it off? Medical treatment is also ineffective. This has been confirmed now, so we can use a new method.

Technology.

That’s endoscopic surgery.”

As soon as Chen Qi said these words, the venue was bombarded and exploded again.

In 1988, for doctors at the Vietnam-China People's Hospital, or for doctors in China, endoscopy was a relatively unpopular thing.

Most hospitals don’t even have advanced gadgets like endoscopes, because they have to be imported and are not something that a small or medium-sized hospital can handle.

The People's Hospital used to have a gastroscope, but there was only one set. You still looked directly at the gastroscope tube with your eyes, which was a backward endoscope.

The function is limited to examination, which is to see if there are any lesions in the esophagus or gastroduodenum. Minor illnesses can be treated with internal medicine, and serious illnesses can be removed directly with surgery.

Later, it was not until Chen Qi and Lan Lijuan brought in a sponsorship of US$2 million from Sweden, and Asrila Company kindly sponsored two new sets of gastroscopy instruments for the research team, that a few people had seen what endoscopy is.
To be continued...