Chapter 58: Gastric Bypass Surgery (Part 3)

"Quick, hold him down!" Ruan Bin hurriedly pressed the other party's feet.

Although Tang Jianjun was panicked at the moment, he still held down his son's hands neatly. Guo Hui also hurriedly came over to help catch his head, so that he could keep his breathing smooth with his head sideways.

I have to say that this kid is very strong, and the three of them are still convulsing all over their bodies with all their strength!

"Doctor, what's the situation with my son?" asked Tang Jianjun with a worried expression.

At this moment, Guo Hui pressed the other party's head with one hand, and hurriedly broke the other party's eyelids with one hand to check.

I found that my pupils were suddenly dilated, coupled with the fact that the little fat man was spasmodic at the moment, his face was blue and purple, and he was foaming at the mouth.

"Dr. Ruan may have guessed correctly, it should be epilepsy, eight or nine are not far from ten!" Guo Hui is still very experienced!

"Ah, epilepsy, this, what can I do?" Tang Jianjun panicked even more. This disease is commonly known as sheep epilepsy, and when I hear it, I think it's a big problem.

"Let's wait for him to calm down, and do a cranial CT and magnetic resonance angiography to know if it's okay. Ruan Bin said.

To be honest, he didn't dare to guarantee what caused epilepsy, and combined with this kid's uncontrolled overeating, he always felt that the patient's condition was not as simple as it seemed!

After a few minutes, the little fat man finally stopped convulsing, but he did faint.

"Doctor, is my son okay?"

"The heartbeat and blood pressure are normal, and the problem is not big, so I should send it for examination as soon as possible. ”

The nurse was called, and the flat car on the stage was sent for examination.

Ruan Bin didn't continue to follow up on this matter, after all, he had other things to do!

But twenty minutes later.

Guo Hui hurriedly found Ruan Bin!

"Doctor Ruan, the cause has been found!" Guo Hui followed Ruan Bin with a CT scan.

Ruan Bin took it and looked at it, and saw that the CT scan showed that a white shadow appeared in the hypothalamus!

"Tumor?" Ruan Bin frowned!

"That's right, it's this tumor that is constantly compressing the hypothalamus in the process of increasing and causing epilepsy!" Guo Hui said with a smile.

"This tumor is relatively large, and it has already caused cerebrovascular hemorrhage!" Ruan Bin frowned, to be honest, this problem is not small.

"Well, but it looks like it's probably a benign tumor, which is good news. Guo Hui said.

"By the way, I finally remember why this little fat man can't eat enough because of his overeating, it should be the tumor that compresses the neurocortex there, causing the little fat man to affect his overeating!

"Hey~ Don't you say that I almost forgot about this stubble, it should be hypothalamic obesity, it seems that this is definitely the case! As long as this tumor is removed, the kid's appetite will return to normal. Guo Hui patted his thigh and said.

"Well, it should be like this!" Ruan Bin nodded. Suddenly, both he and Guo Hui had a sense of winning a battle, and it was a very pleasant thing to be able to understand the complex condition of the patient.

"Looks like you're going to have to hand over this kid to your surgeon next. Guo Hui smiled and continued: "Okay, then this patient will be handed over to you, I will continue to go to the clinic, and a bunch of patients are lined up." ”

"Okay!" Ruan Bin nodded, and then took this inspection report to Jiang Yurong.

If nothing else, this little fat man's tumor needs to be removed, and he should have transsphenoid pituitary surgery! This is a fourth-level surgery! He can't do it, even if there is a system, it is estimated that the deposit of more than 20,000 yuan he has just recovered is not enough to upgrade!

To be honest, Ruan Bin didn't know if Jiang Yurong would do this operation, because of the scope of surgery in the neurosurgery department of this operating room. He didn't know if Jiang Yurong would be able to!

"Hypothalamic tumor?" When Jiang Yurong saw the examination report in her hand, Dai's eyebrows wrinkled deeply!

Ruan Bin saw this situation and thought that the other party would not do this surgery!

Although the other party is a top student, it is impossible for a top student to have any surgery, right?

"Uh...... Let the patient be hospitalized first, and let the doctor from the neurosurgery department do it tomorrow?" asked Ruan Bin.

"No, no, no, this surgery has to be done now! This tumor is too big, it has caused cerebrovascular hemorrhage, if I wait until tomorrow, I don't know if there will be any problems! But...... The tumor was so large that it caused bleeding in the cerebral blood vessels, and I was worried that the cortex of the hypothalamic pituitary gland had been damaged by this time. Even if he has undergone tumor removal surgery, he will still not be able to control his appetite, he will still overeat, and he will even eat himself to death!" Jiang Yurong said with a solemn face.

"Huh?" Ruan Bin was stunned, what you mean by hearing what you mean is going to do it?

But after listening to the other party's words, he felt that things seemed to be very big!

"What if the cortex is damaged?" asked Ruan Bin, who didn't understand. Although he has a systematic body, a lot of clinical experience is definitely not as good as that of this scholar.

"If the cortical tissue is really traumatized, his binge eating symptoms will not be good, and he will never be able to eat! Unless he is given a gastric bypass! But I will not do this operation, there is only one chief doctor in our hospital gastroenterology department who will do it, but his operation is full every day, and it is said that the latest patients are now scheduled for a month!" Jiang Yurong shook her head.

"So, if such serious consequences really occur, then this patient will not be able to undergo gastric bypass surgery in a short period of time, and it is very likely that he will eat himself to death, unless someone watches him 24 hours a day!" Ruan Bin also realized the seriousness of the problem.

This surgery is very difficult, and very few people will do it!

It has only been about ten years since the operation started in China.

Last year, the total number of surgeries performed in hospitals nationwide was only about 10,000.

Last year, the top 100 hospitals that performed bariatric metabolic surgery were selected to perform a total of 5,835 gastric bypass surgeries. Statistics found that there were 36 hospitals with less than 20 cases, 34 hospitals with 20-60 cases, 11 hospitals with 60-100 cases, 19 hospitals with an annual operation volume of more than 100 cases, and only 5 surgical centers with an annual operation volume of more than 200 cases in the country.

In other words, if this surgery can be performed with 200 patients a year, there will be a total of 5 hospitals in the country!

It can be seen from this that there are few doctors who understand this operation, the operation is difficult, and the clinical practice is not long enough!

In other words, if you go to other hospitals in the magic capital and want to do this surgery, it is estimated that you will have to queue up for a long time to do it! The same is true when you go to other hospitals! Even the level of hospitals in other places is average.