“Can’t swallow” don’t worry

Recently, in the surgical ward of Ganzhou Donghe Hospital, a conversation suddenly came out: “Huh? Isn’t this Mr. Zhang?” Mr. Zhang: “Yes, yes, I’m here again.” Nurse: “The whole spirit looks much better than when I was discharged from the hospital a few years ago, and I’m recovering well.” Mr. Zhang: “I still want to thank you for your care and treatment!” A few short sentences showed the patients’ trust in the medical workers of Ganzhou Donghe Hospital.

The patient, male, 63 years old, had difficulty swallowing after eating rice for more than a month without obvious incentives. Due to repeated episodes, he came to Ganzhou Donghe Hospital and underwent gastroscopy after admission. The test results showed that: esophageal ulcer type Ca, 2022.1.15 in the general anesthesia tracheal intubation through the thoracic and laparoscopic assisted radical esophagectomy (three incisions) + jejunostomy, the whole treatment process recovered well, the doctor was active, the nurse cooperated , The patient and his family were satisfied, and he was discharged smoothly on January 30. Recently returned to the hospital, requesting the first chemotherapy.

It is reported that esophageal cancer is a malignant tumor that occurs in the epithelium of the esophagus. About 300,000 people worldwide die of esophageal cancer every year. my country is one of the high-incidence areas of esophageal cancer, with an average of about 150,000 deaths per year.

What causes the disease?

①Chemical factors: nitrosamines such as nitrite, nitrosamines, etc. ②Biological factors: aflatoxin, etc. ③Microelement deficiency: molybdenum, iron, zinc, etc., ④vitamins Class deficiency: Vit A, B2, C, etc., ⑤ Bad eating habits: such as frequent smoking, drinking, liking hot food and hot drinks, etc., ⑥ Genetic predisposing factors, etc.

What are the clinical responses of such diseases?

In the early stage, choking, retrosternal burning, and foreign body sensation may occur; in the advanced stage, progressive dysphagia (typical symptoms), vomiting, chest and back pain, and weight loss may occur; in the advanced stage, perforation and pain may occur , choking, hematemesis, nerve involvement, hoarseness, cachexia, weight loss, anemia, low protein, distant metastasis to supraclavicular lymph nodes, liver, etc.

A good lifestyle and eating habits can help us avoid many diseases. If we encounter such diseases, we should also actively treat them. The Department of Surgery of Ganzhou Donghe Hospital has built a comprehensive medical team featuring endoscopy and tumors. The treatment methods are mainly surgery, combined with radiation and chemical drugs. People-oriented, revitalizing the hospital for the people” is the tenet of the hospital, and serves the patients wholeheartedly. (Surgery, Donghe Hospital, Ganzhou, Wang Xueyan)