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

When they heard that a small gastroesophageal reflux disease had caused such serious consequences, they were all stunned.

Then they asked themselves, what would they do if they encountered such a patient? How is it diagnosed? And then many doctors find out that I'm afraid they may be doing worse.

Especially the directors of surgery who were still clamoring before, they were all worried.

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

The reason why surgeons are called rough men and why orthopedic surgeons are called carpenters is that these doctors who use knives rarely think about why this disease is caused? What is pathophysiology?

They deal with patients in a simple and crude way, with headaches and painful feet.

If any surgeon is thinking about the cause and the pathology, then this doctor has the potential to become a famous doctor, such as a certain dean surnamed Chen.

The doctors in the audience now admire this young Dean Chen very much, and such a complex disease can be prepared to be diagnosed, and it really lives up to the name of a miracle doctor.

But obviously, Dean Chen was unwilling to let them go and let go of this opportunity to hit people.

"Everyone has heard Dr. Ma's case report, and the mystery has been revealed, so 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 Shen Zhemin are all here today, right? Okay, I see, I would like to ask these directors of surgery to talk first, this patient is transferred to your surgery, how are you going to treat it? ”

Being so famous by Chen Qi, these surgical directors were embarrassed, and they all began to shrink their necks.

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

"Old Jin, you go!"

"That's it, Lao Jin, you are old, hurry up and help us fight for breath and defeat the dean."

Jin Peilin really wanted to squirt these bastards to death with a mouthful of salt soda, but there was no way, who told him to take the lead in coaxing in advance.

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

"This and this, since the problem is in the stomach, because of so many complications caused by the stomach contents, then we simply cut the stomach directly, the stomach is gone, the stomach contents are gone, and the root cause is solved, hehe."

Several surgical directors next to him also laughed:

"Yes, yes, cut the stomach, we are experts in this."

"After gastrectomy, it is the root cause, and only our surgery can treat it."

Other surgeons also agreed with the treatment, but only a few surgeons blushed, including a small doctor like Lu Yuehua.

Lao Guo and Zhu Huoyan also shook their heads when they heard this.

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

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

"Lao Jin, what are you kidding, let's not talk about any other side effects after the total gastric resection, just for this patient, people have so many complications because of gastroesophageal reflux, causing so many adverse consequences.

If you cut your stomach and lose the cardia and pylorus switches, the small intestine will have to connect directly with the esophagus, and your stomach contents will be gone, but without the two switches, the intestinal contents and digestive juices will regurgitate unscrupulously.

Let's think about it, after the stomach is completely removed, not only will the reflux disease not be solved, but it will become more and more severe, good guy, the patient comes to treat the disease, not only the problem is not cured, the stomach is also cut, and it is strange not to sue us at that time. ”

Hehehe·~~~

The physicians in the venue were all laughing, and they would definitely spare no effort to have a rare opportunity to crack down on the rough surgical masters.

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

"Surgery knows what to do, but it doesn't care if it's right or not, it's really a group of reckless people......"

"How can a total gastric resection be so simple, and then the patient will live for a few years? ……”

Indeed, total gastrectomy is not only aggravated by esophageal reflux disease, in fact, other serious consequences cannot be ignored at all.

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

It is easy to make the body lack nutrients, lead to low immunity, and induce the occurrence of iron deficiency anemia and osteoporosis.

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

On top of that, a person's stomach is completely removed, which will affect the body's digestion and absorption of nutrients, resulting in gradual weight loss of the body.

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

Although it has been reported 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 the vast majority of patients with total gastrectomy is only 20%, that is, 4 out of 5 patients do not survive for 5 years.

Therefore, total gastrectomy is generally limited to gastric tumors with relatively high malignancy, large volume and wide range, and there is no way to do it.

As soon as the internist explained this, he coaxed Jin Peilin to the fire and roasted him, and the little old man blushed, turned his head and began to play a scoundrel.

"Lao Jia, since you said that our surgical plan is wrong, then tell me, how does your internal medicine treat it? Let's learn. ”

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

"Internal medicine knows a fart, only plays tricks, says one thing at a time, but does nothing when it is done......"

"Director Jia, what are you saying, now that the patient can live in your internal medicine department, how is your internal medicine department going to treat it? ……”

Now it was the surgeons' turn to start coaxing, and then Jia Liang realized that he was about to drip in a cold sweat, and now he was going to bury himself in the pit he dug.

"Well, this one, we still need symptomatic treatment, such as antacid, promote gastric motility, regulate gastrointestinal flora, and anti-inflammatory and anti-infection treatment......"

Jin Peilin smiled and asked rhetorically:

"Who was the one just now, but I said on the stage, this patient has been treated in your internal medicine department for more than a week, and he has used all kinds of medicines, even the foreign omeprazole has doubled the dose, but the condition has not improved at all, this is always right?

What's the matter, Lao Jia, dare to love your internal medicine, there is only bragging? I can't cure the disease myself and laugh at others, I think it's better to come to our surgery and try it, maybe the strength can produce a miracle, right? ”

"Yes~~~~"

The surgeons coaxed one after another, and then the audience burst into laughter, and even Director Zhu sat there with a smile and a relaxed expression.

Lao Guo looked back at this group of old subordinates and scolded with a smile:

"Damn, you can't cure this disease, it's the first place to coax."

Lan Lijuan sat in the audience, and she couldn't hold her face, after all, this patient was taken over by their six internal medicine departments, and not only did it have no effect after treating it for a long time, but even the cause was found by asking her husband for help.

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

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

He saw that everyone was almost in trouble, so he knocked on the table to signal everyone to be quiet.

"Just now, the surgeons represented by Director Jin and the internists represented by Director Jia have put forward their own treatment plans, but it is a pity that none of them is feasible and effective.

What does this mean? Does it mean that the level of doctors in our Viet Chung People's Hospital is too poor? I can't even get a stomach problem. Or is it that the disease itself is a terminal illness that cannot be cured, so we just give up and let the patient go back and die at home? ”

As soon as Chen Qi's words fell, the doctors in the audience lowered their heads a little ashamedly, and even Lao Guo blushed.

Because he thought about it for a long time, he found that if he was the attending doctor, he seemed to have no books, and he would really let the patient be discharged early, and the family would wait for the banquet to open.

Chen Qi saw that the atmosphere was almost over, so he slowly spoke.

"In fact, there is another possibility, that is, the knowledge that everyone has learned before is outdated, backward, and should it be eliminated? The International Medical Day is getting better with each passing day, but we are still resting on our laurels in our country, and if we fall behind, we will be beaten, comrades. ”

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

"This disease, I give the final diagnosis is called refractory gastroesophageal reflux disease, but our latest domestic textbooks do not appear in this disease, and there is no knowledge point, which shows that this is a new disease.

Although this is a possible new disease, we already know what the cause is, and we are also familiar with the anatomy, so if you think about it, the treatment idea is actually very simple, since the switch of Huimen is loosened, then we can treat the cardia for it.

Don't think about the total gastric resection, this is not considered at all, the patient's stomach is good, why did you cut it? Medical treatment is also ineffective, which has now been confirmed, so we can adopt a new technology.

That's endoscopic surgery. ”

As soon as Chen Qi's words came out, the venue exploded again and again.

In 1988, for the doctors of the Viet Chung People's Hospital, or for the doctors in China, endoscopy was a relatively unpopular thing.

The vast majority of hospitals don't even have such an advanced thing as endoscopy, because this thing has to be imported, and it is not something that a small or medium-sized hospital can play with.

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

The function is also limited to examination, that is, to see if there are any lesions in the esophagus or gastroduodenum, and minor diseases are treated internally, and major diseases are directly surgically removed.

Later, it was not until Chen Qi and Lan Lijuan brought in a sponsorship of 2 million US dollars from Sweden, and Aslila Company sponsored two sets of new gastroscopy instruments in the research group, that a small number of people saw what endoscopy is.

As a result, now Chen Qi directly said that he wanted to use a gastroscope for surgery? It was still a more difficult operation, which had to surprise everyone.

Because the vast majority of doctors can't imagine.

Surgery, there must be dozens of surgical instruments spread out there, and then three or four surgeons have to come to the stage together, which is a dissection of the stomach and cutting to be completed.

Now a small and long tube can also be operated?

It's like a severed limb without fingers, with a bare top, how do you eat with a fast child? How do you pick up vegetables?

At least the vast majority of doctors in the People's Hospital do not believe it.

Jin Peilin smiled and said in the audience: "Dean Chen, don't be kidding, how can this tube be operated on?" How do you cut this? How do I get stitches? I can't imagine it. ”

Jia Liangcai rarely stood on Jin Peilin's side at this time:

"A few days ago, Dean Chen's use of the gastroscope to stop bleeding has already amazed us, but it is just a function similar to an electric knife at the top of the gastroscope, that is, the electricity is turned on, and everyone can understand it.

Now I say that I want to take this gastroscope tube to do a gastric surgery, and I can cure gastroesophageal reflux disease without removing the stomach, hehe, anyway, I can't think of it, and I can't imagine it, Dean Chen, you beware of cowhide blowing your head. ”

Many of the veteran doctors below chuckled.

Regardless of whether everyone is benign or malicious, there is laughter anyway, and it is obvious that this part of the people voted no confidence in Chen Qi, the dean.

On the contrary, some young doctors sat in the back row, and they were all discussing the possibility of endoscopic surgery and the principle of operation.

Chen Qi's reputation has been made by one operation after another, and he has directly become an international double director, which is convincing, especially since Chen Qi has invented too many new techniques in the past.

Therefore, the young doctors have confidence in Chen Qi, they feel that Dean Chen can create miracles, and they are willing to learn from him.

Chen Qi saw the reaction of everyone in the audience, and Chen Qi even glanced at Lao Guo and Zhu Huoyan in the audience.

The meaning is obvious, lo and behold, these old guys not only can't be champions of new technologies, but they won't take the initiative to learn new technologies, they will only stick to the old ways and be stubborn.

On the contrary, the young doctors are willing to accept new things and learn new things, so don't blame him for not taking old comrades to play.

To say that the biggest supporters of Chen Qi in the People's Hospital are Lao Guo and Zhu Huoyan, (the wife is counted separately).

Therefore, the two veteran comrades nodded slightly, indicating that they had received a signal and would not oppose Chen Qi's future reform measures.

Lao Guo and Zhu Huoyan did not object, Chen Qi had the bottom in his heart, so he patted the microphone again:

"Everyone, be quiet, we are doctors, no matter how much we say, it's useless to see the real kung fu in our hands, it's a mule or a horse to come out and boil. So, tomorrow I will do this endoscopic surgery myself, so that you can see what the new technology is. ”